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Combating the Opioid Epidemic in North Carolina Prevention, Treatment, Enforcement

Mention that four of top 20 cities with opioid problem are in NC, according to Castlight Health. Source: http://www.northcarolinahealthnews.org/2017/07/27/four-north-carolina-cities-make-top-25-list-opioid-abuse/

Prevention Treatment Enforcement The Strategy Prevention Treatment Enforcement

Strengthen Opioid Misuse Prevention (STOP) Act http://www. ncleg Check Controlled Substance Reporting System before prescribing opioids 5-day limit on initial prescriptions for acute pain (7 days after surgery) Mandatory e-prescribing of opioids NC Senate Committee on Health Care hearing from Cathy Pietro, who lost her daughter to an opioid overdose

Treatment Funding $31 million federal grant through 21st Century Cures Act $10 million in state appropriations

Synthetic Opioid Control Act http://www. ncleg List all known fentanyl analogs in Schedule I Create new “catch-all” provision for future fentanyl analogs Move synthetic cannabinoids from Schedule VI to Schedule I Properly schedule designers hallucinogens & certain other drugs Add fentanyl to the second degree murder statute Note that second degree liability attaches where unlawful distribution of controlled substance proximate cause of death AG Stein kicking off press conference to announce Synthetic Opioid Control Act

Law Enforcement Task Force CSRS check for benzodiazepines STOP Act applying to veterinarians Tighter regulation of pain clinics Diversion of low-level drug offenders into treatment Allow law enforcement access to CSRS Healthcare diversion reporting Add felony charges for a healthcare workers who substitute, dilute, or steal controlled substances meant for patients in healthcare facilities or homes

Investigation into Manufacturers

Governor’s Action Plan Create a coordinated infrastructure Reduce oversupply of prescription opioids Reduce diversion of prescription drugs and flow of illicit drugs Increase community awareness and prevention Make naloxone widely available and connect overdose survivors to treatment Expand treatment and recovery-oriented systems of care Measure our impact and revise strategies based on results Gov. Cooper on President Trump's national opioid task force

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