Albany Times Union

Make non-opioid medication­s available to Medicaid patients

- By Shawn Hill and Syderia Asberry-chresfield

The pain and loss caused by the opioid epidemic have touched every community across the United States. At the Greater Harlem Coalition, we’ve seen the impact of this crisis firsthand, and we have worked tirelessly to advocate for the equitable distributi­on of effective treatment programs across New York City. In order to achieve our goal of breaking the deadly cycle of addiction, New Yorkers need our elected leaders to make sure alternativ­es to addictive opioids are accessible.

Thanks to recent medical breakthrou­ghs, non-opioid, non-addictive pain medication­s will soon be available to the public — and that is why it’s urgent that our state lawmakers take action to ensure these medication­s are available and affordable for our state’s Medicaid patients.

First, it’s important to emphasize the positive impact that the FDA’S approval of the first-ever non-opioid alternativ­e to treat severe pain could have. Doctors will soon be able to prescribe effective pain relief without having to worry about its potential for misuse, abuse and addiction.

Making these products available to patients enrolled in government-administer­ed health care services is essential. Prescripti­on opioids have played a major role in the opioid crisis, and over 7.3 million New Yorkers access healthcare and their prescripti­ons through our state’s Medicaid program. But Medicaid programs across the nation have had to rely on addictive opioids for patients dealing with acute pain. A report from the U.S. Department of Health and Human Services last year reflects this reliance, finding that about 40 percent of non-elderly adults with opioid use disorder receive their coverage through Medicaid.

On the federal level, lawmakers have shown their understand­ing that with the medical breakthrou­gh of nonopioid treatments on the near horizon, the time to make opioid alternativ­es more accessible to the public is now. In January, Congress introduced the Alternativ­es to Prevent Addiction in the Nation Act (Alternativ­es to PAIN) Act, which if passed would ensure Medicare patients (seniors)

have access to non-opioid medicines and pay no more for these safer alternativ­es than they would for generic opioid pain medicines.

However, since Medicare is a federally administer­ed program, it’s essential that states pass similar legislatio­n for their state-administer­ed Medicaid programs. New York needs to act swiftly to ensure more people have access to these alternativ­es.

At the Greater Harlem Coalition, we will continue to fight for effective and equitable drug treatment and recovery programs for those already suffering the consequenc­es of opioid addiction. But by making sure patients have access to nonaddicti­ve alternativ­es from the start, we can help ensure they never develop a reliance on these drugs to begin with. We urge our elected leaders in Albany to act quickly to pass legislatio­n that makes non-opioid alternativ­es an option that’s easily available, and affordable, to those enrolled in New York Medicaid.

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