Resolution: S-21-17: X-WAIVER UTILIZATION FOR RESIDENTS

[Valerie Lile]

WHEREAS, Research has shown that there are significant gaps between patients’ treatment needs and capacity at the state and national level for opioid agonist medication-assisted treatment (OA-MAT).¹

WHEREAS, The AOA’s official stance, stated in H440-A2016, recognizes and advocates that MAT is the most effective and cost-effective method for opioid addiction treatment. H440-A2016 also encourages education and collaboration on the local level.²

WHEREAS, Medical students are able to become DATA 2000 Waiver trained through PCSS prior to graduation, resulting in eligibility to prescribe OA-MAT upon receiving a DEA number

WHEREAS, residents do not have their own personal DEA numbers in most programs, preventing their ability to prescribe evidence-based medication for substance use disorder

WHEREAS, residents are able to prescribe numerous drugs that include full agonist opioids with addictive properties

WHEREAS, creating a system to allow residents to utilize their training to the fullest would immediately increase the number of fully trained physicians able to prescribe lifesaving medications that are within their scope and training, therefore, be it

WHEREAS, On January 14th the Health and Human Services (HHS) announced plans to lift the X-Waiver requirements and allow all licensed physicians with a DEA number to prescribe MAT to 30 patients. This was retracted but will likely be reimplemented. We understand the tentative nature of this resolution but feel regardless, the plans of the HHS does not include residents since it only expands MAT utilization to those with DEA numbers.

RESOLVED, SOMA will advocate that resident programs create systems to identify which residents have their DATA 2000 Waivers and provide residents with OA-MAT prescribing privileges; and be it further

RESOLVED, SOMA will advocate for the AOA to encourage resident programs to create systems to identify which residents have DATA 2000 Waivers and provide residents with OA-MAT prescribing privileges; and be it further

RESOLVED, SOMA and the AOA will advocate that the DATA 2000 Waivers be extended  to all residents who have completed the required training

RESOLVED, If the X-Waiver requirement is lifted, then SOMA and the AOA will advocate that this be further expanded to include residents.

 

Explanatory Statement

(An explanatory statement may be added to a resolution when the authors feel that a specific idea needs to be explained beyond what can be accomplished within the WHEREAS statements. This statement should be short, concise, and limited to an explanation. Avoid including any conjecture or opinion. This section is NOT required.)

Relevant Existing Policies: (The policy number of any relevant existing policies provided for reference)

SOMA Policy:

Resolution: S-20-28: EXPANDING MEDICATION ASSISTED TREATMENT THROUGH INCREASING ACCESS TO RESOURCES AND TRAINING

Policy of Other Organizations Named in the Resolved Statements (AOA/AMA/etc.):

References

1. Jones, C. M., Campopiano, M., Baldwin, G., & McCance-Katz, E. (2015). National and State Treatment Need and Capacity for Opioid Agonist Medication-Assisted Treatment. American Journal of Public Health, 105(8), e55–e63. http://doi.org/10.2105/AJPH.2015.302664
2. SUBSTANCE USE DISORDERS (SUD) — EVIDENCE BASED TREATMENT PROGRAMS FOR.http://policysearch.wpengine.com/wp-content/uploads/H440-A2016-SUD-EVIDENCE-BASED-TREATMENT-PROGRAMS.pdf

_____________________________________________________________________________________

Submitted by: 
(Shaun Antonio, OMS IV – Burrell College of Osteopathic Medicine)
(Giselle Irio, OMS IV- Burrell College of Osteopathic Medicine)
(Hannah DePoy, OMS III- Virginia College of Osteopathic Medicine)
(Courtney Thrower, OMS IV- Arkansas College of Osteopathic Medicine)

Action Taken:

Date:

Effective Time Period: (If this resolution represents a permanent change, declare “Ongoing“. If the resolution is of a short-term nature, specify a date that this resolution could be removed from the Policies Section since the resolution would no longer be in effect.)

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