The final draft of the report includes over 50 recommendations on a variety of federal, state, and local agencies, but it stops short of calling for new federal dollars. Below are some of the biggest recommendations in the report. For all 56 proposals, read the full report.
- Streamline federal funding for drug addiction using “one application and one set of reporting requirements.” The commission argues this would let states focus less on paperwork and more on actually implementing policies.
- Remove barriers to treatment including better enforcement of parity laws that in theory require insurers to pay for such care.
- Develop “a national curriculum and standard of care for opioid prescribers.” It also proposes that the Drug Enforcement Administration (DEA) require doctors renewing their opioid prescribing licenses to attend an education program for such prescriptions.
- Stop evaluating doctors based on pain scores. The commission asks that patient satisfaction surveys used to evaluate doctors no longer include any questions about pain.
- Allow more emergency responders to deploy naloxone and include all medical staff in the National Highway Traffic Safety Administration best-practices guide for emergency responders.
- Tougher prison sentences for the trafficking of fentanyl and fentanyl analogues.
- A media campaign on addiction stigma and the dangers of opioids.