Methadone Treatment for
Opioid Use Disorder
Improving Access Through Regulatory and
Improving Access Through Regulatory and
Lisa Bain, Sheena M. Posey Norris,
and Clare Stroud, Rapporteurs
Board on Health Sciences Policy
Board on Health Care Services
Health and Medicine Division
Action Collaborative on Countering the
U.S. Opioid Epidemic
Proceedings of a Workshop
NATIONAL ACADEMY OF MEDICINE
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
This activity was supported by a contract between the National Academy of Sciences and the Office of National Drug Control Policy, Executive Office of the President (11316021P0001OND). Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-69096-6
International Standard Book Number-10: 0-309-69096-X
Digital Object Identifier: https://doi.org/10.17226/26635
This publication is available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.
Copyright 2022 by the National Academy of Sciences. National Academies of Sciences, Engineering, and Medicine and National Academies Press and the graphical logos for each are all trademarks of the National Academy of Sciences. All rights reserved.
Printed in the United States of America.
Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2022. Methadone treatment for opioid use disorder: Improving access through regulatory and legal change: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/26635.
The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.
The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. John L. Anderson is president.
The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.
The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.
Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.
Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.
Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.
Rapid Expert Consultations published by the National Academies of Sciences, Engineering, and Medicine are authored by subject-matter experts on narrowly focused topics that can be supported by a body of evidence. The discussions contained in rapid expert consultations are considered those of the authors and do not contain policy recommendations. Rapid expert consultations are reviewed by the institution before release.
For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.
PLANNING COMMITTEE ON METHADONE TREATMENT FOR OPIOID USE DISORDER: EXAMINING FEDERAL REGULATIONS AND LAWS1
ALAN LESHNER (Chair), American Association for the Advancement of Science (Emeritus)
GAVIN BART, Hennepin County Medical Center; University of Minnesota
RICHARD BONNIE, University of Virginia
MAGDALENA CERDÁ, New York University
ABBY COULTER, Urban Survivors Union
BRIDGET DOOLING, George Washington University
SHERI DOYLE, The Pew Charitable Trusts
TRACIE GARDNER, Legal Action Center
HELENA HANSEN, University of California, Los Angeles
VAN INGRAM, Kentucky Office of Drug Control Policy
MATTHEW LAWRENCE, Emory University School of Law
GAIL MATTOX, Morehouse School of Medicine
JOSIAH “JODY” RICH, Brown University
DANIELLE RUSSELL, Sonoran Prevention Works
KENNETH STOLLER, Johns Hopkins University
JONATHAN H. WATANABE, University of California, Irvine School of Pharmacy & Pharmaceutical Sciences
CLARE STROUD, Senior Program Officer
SHEENA M. POSEY NORRIS, Program Officer
EDEN NELEMAN, Senior Program Assistant
ELIZABETH FINKELMAN, Senior Program Officer (until December 2021)
ALEXANDRA ANDRADA, Program Officer
AISHA SALMAN, Program Officer
NOAH DUFF, Associate Program Officer
ANDREW M. POPE, Senior Director, Board on Health Sciences Policy
SHARYL NASS, Senior Director, Board on Health Care Services
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
This page intentionally left blank.
This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank the following individuals for their review of this proceedings:
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by BRIAN STROM, Rutgers, The State
University of New Jersey. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.
This page intentionally left blank.