Opioid Use Disorder Resources
Several Missouri initiatives expand access to integrated prevention, treatment and recovery support services for individuals with OUD.
- Opioid-STR Project, funded through SAMHSA, expands access to integrated prevention, treatment and recovery support services for individuals with OUD throughout the state.
- MO-HOPE Project, funded through SAMHSA, provides resources to reduce opioid overdose deaths in Missouri through expanded access to overdose education and naloxone, public awareness, assessment and referral to treatment. The project includes prevention, public health and harm reduction strategies to improve readiness to avoid or respond to opioid overdose events in Missouri.
- MORE Project, funded through SAMHSA and the Bureau of Emergency Medical Services, serves rural Missouri. The project provides naloxone to first responders and trains them to administer the nasal spray to reverse opioid overdoses.
- In support of the Surgeon General’s advisory on naloxone and opioid overdose, pharmaceutical company – kaléo, established a Virtual Standing Order program: Those with commercial insurance, without a prescription, can receive EVZIO at no cost by calling 1-877/883-8946 to talk to a pharmacist and arrange delivery of naloxone directly to their home. The Virtual Standing Order program now is available for patients in six states, as part of the initial pilot program: Arizona, California, Colorado, Missouri, Nevada, and Ohio. Kaléo plans to expand the program to additional states.
- Opioid-STR has funded four Recovery Community Centers (RCCs) to provide OUD recovery support services. These Recovery Community Centers are independent non-profit organizations that mobilize resources to increase the prevalence and quality of long-term recovery. Recovery coaching, telephone-based recovery services, recovery meetings, life skill groups, and other services are offered.
In support of statewide naloxone distribution efforts, the Missouri Legislature approved Good Samaritan protections for laypersons with high likelihood of responding to an opioid overdose (RSMO 195.205). This law, adopted in 2017, is designed to save lives by encouraging people to seek emergency medical help if they experience or witness an opioid overdose.
Senate Bill 718: (1) blocks inclusion of pain scores in quality of care and patient satisfaction data the Missouri Department of Insurance is authorized to collect (2) subject to appropriations, creates an opioid use treatment and prevention program involving advanced practice registered nurses, physician assistants and assistant physicians, in collaboration with physicians
SB 826: (1) limits initial prescriptions of opioids to a duration of seven days, with specified exceptions (2) allows the Bureau of Narcotics and Dangerous Drugs to implement rules so drug disposal boxes may be placed in pharmacies for citizens to use (current Missouri biannual drug take-back events averaged nearly 40,000 pounds per event throughout the past two years) (3) allows pharmacies and other entities to establish drug take-back programs, making it easier for people to clean out medicine cabinets and prevent diversion
SB 951: (1) revises standards for the prescribing of buprenorphine as a medicine for treating OUD under collaborative practice arrangements (2) requires health insurers to offer their enrollees coverage of FDA-approved medicines for SUDs for an additional premium
House Bill 2280: authorizes as much as 12 additional months of Medicaid coverage of substance use and mental health treatment for post-partum women who receive substance use treatment within 60 days of giving birth and who adhere to the treatment program – the added coverage is contingent on federal approval
HB161: authorizes MO HealthNet (Medicaid) to reimburse providers for telemedicine at the same rates as in-person visits
HB1516: MO HealthNet will authorize as many as 20 visits for chiropractic care; this may reduce the number of opioid prescriptions being written to manage chronic pain, decreasing the incidence of SUD
SB660: psychiatric physician assistants, psychiatric advanced practice registered nurses and psychiatric assistant physicians are added to the definition of mental health professionals — increasing patient access to behavioral health care, including OUD