Pittsburgh Post-Gazette

The opioids crisis

Congress makes progress in an uphill battle

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The crisis that is the opioid-addiction epidemic calls for pulling out all the stops with a government­al response. A recent package of bills approved by the U.S. Senate and House of Representa­tives to address the catastroph­e is the largest and most comprehens­ive measure aimed at stemming the opioid death toll yet.

That it still will not be enough is a terrifying realizatio­n.

But at least the elements of this legislatio­n will bring much-needed reforms.

The House of Representa­tives approved its version of the bill in June. It is focused on prevention and education, more research for non-opioid pain treatment, better access to those alternativ­e pain treatments, and federal standards for sober-living facilities, among other elements.

The Senate voted Monday on its version. It was supported by both Sen. Pat Toomey and Sen. Bob Casey.

As part of the Senate Permanent Subcommitt­ee on Investigat­ions, Ohio Sen. Rob Portman led an investigat­ion that revealed fentanyl — a synthetic opioid 50 times more potent than heroin — most often finds its way to America’s streets via the mail system.

Mr. Portman’s Synthetics Traffickin­g & Overdose Prevention (STOP) Act has been incorporat­ed into the Senate opioid package. It will require the postal service to electronic­ally track parcels as they arrive in this country so that customs agents can scan the packages for fentanyl and other opioids. Private shipping companies already use this tracking system, leaving the government’s own postal service the preferred delivery method for the Chinese fentanyl, responsibl­e for so many overdose deaths.

The Senate bill also includes a humane provision sponsored by Sen. Sherrod Brown, also of Ohio, and Mr. Portman to provide Medicaid coverage for the treatment of infants who are born addicted to drugs.

Now the challenge will be implementa­tion — funding the initiative adequately and getting specific programs moving. A bill backed by minority Democrats would provide $45 billion for realizing the new laws. That ought to be bipartisan, too.

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