Chattanooga Times Free Press

Alexander opens hearings into opioid crisis

- BY ELIZABETH FITE STAFF WRITER Contact staff writer Elizabeth Fite at efite@timesfreep­ress.com or 423-757-6673.

Members of the U.S. Senate Health Committee heard Thursday that more research will be needed if they are to combat the nation’s opioid addiction crisis.

“Addiction is a powerful force, driven by the powerful ways in which opioids literally can rewire the brain,” said National Institutes of Health Director Dr. Francis Collins. “When people suffering from addiction seek help, we owe it to them to provide treatments that will work for them. Research can help us get there.”

Collins and others spoke as committee chairman U.S. Sen. Lamar Alexander, R-Tenn., kicked off a series of hearings addressing the opioid crisis and highlighti­ng the federal response to the epidemic.

“The opioid crisis is tearing our communitie­s apart, tearing families apart and posing an enormous challenge to health care providers and law enforcemen­t officials,” Alexander said in his opening statement to panelists and expert witnesses from the U.S. Department of Health and Human Services, the Centers for Disease Control and Prevention, the NIH, and the Food and Drug Administra­tion.

In 2016, a record number of Tennessean­s died from drug overdoses, and nearly 73 percent of those deaths were attributed to opioids. President Donald Trump’s administra­tion recently announced that under the Comprehens­ive Addiction and Recovery Act, which was signed by President Barack Obama in 2016, $144.1 million in grants will be awarded to prevent and treat opioid addiction. Tennessee will receive $6 million from those grants, Alexander said.

But the panel’s senior Democrat, Sen. Patty Murray of Washington, voiced her concern that the administra­tion isn’t doing enough and cited Trump’s recent budget proposal, which includes cuts to the Substance Abuse and Mental Health Services Administra­tion, or SAMHSA.

“We need more support, not less,” Murray said.

Dr. Elinore McCanceKat­z, who leads SAMHSA, said the administra­tion will “look to Congress and the president to come to an agreement that we hope will allow us to continue our programs.”

Senators and witnesses seemed to agree that more research is needed to better understand and combat the crisis.

There are currently three medication­s approved to treat opioid use disorder, but, Collins said, relapse rates remain high and new options are needed, such as products that render opioids less addictive, non-addictive painkiller­s, devices and improved therapies.

Training more practition­ers, limiting prescripti­ons and improving access to treatment, especially for individual­s in rural areas, were also topics of discussion.

“Congress has worked a lot in a bipartisan way to provide funding and update programs to assist states and help combat this public health crisis,” Alexander said.

But while steps have been taken to curb the epidemic, the panel acknowledg­ed that there is a long way to go.

“We need to work together to have any chance of making real progress,” said FDA Commission­er Dr. Scott Gottlieb, who served as a witness.

The health committee will hold its second opioid series meeting next month to examine the crisis at the state and local level.

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Lamar Alexander

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