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Data: Avalere; Chart: Harry Stevens/Axios

The supply of prescription opioids is falling in almost every state, but Congress and the private sector still have a lot more to do to stem the tide of a still-growing epidemic.

Between the lines: States with laws limiting opioid prescriptions have seen the steepest declines in supply, suggesting that intervention can work. That's good news for both Congress and a coalition of health industry players responding to the crisis.

Only 10% of people suffering from a substance use disorder get specialty treatment. Some don't have insurance and thus can't afford it, but treatment can be inaccessible even for people with coverage.

  • “Right now, there’s not even availability of many qualified caregivers in many parts of the country for opioid abuse treatment," said Mark McClellan, who held senior positions at the Department of Health and Human Services in the Bush administration and worked to develop a new industry roadmap.
  • Providers in turn complain that insurers create barriers to treatment access, including through "prior authorization" requirements.

The House is finishing up a two-week sprint of passing opioid-related bills, some of which could have a substantial impact.

  • This week's biggest bills are one that lifts the "IMD exclusion" for those with opioid use disorder, which will help Medicaid enrollees gain access to treatment, and one that allows substance use disorder to be included on a patient's medical records.

Yes, but: While Congress approved nearly $4 billion for the opioid crisis in the spending bill this year, there's still a huge need for more treatment funding.

  • “It seems there is a real financing gap," McClellan said.

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Updated 5 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 9:45 p.m. ET: 19,282,972 — Total deaths: 718,851 — Total recoveries — 11,671,491Map.
  2. U.S.: Total confirmed cases as of 9:45 p.m. ET: 4,937,441 — Total deaths: 161,248 — Total recoveries: 1,623,870 — Total tests: 60,415,558Map.
  3. Politics: Trump says he's prepared to sign executive orders on coronavirus aid.
  4. Education: Cuomo says all New York schools can reopen for in-person learning.
  5. Public health: Surgeon general urges flu shots to prevent "double whammy" with coronavirus — Massachusetts pauses reopening after uptick in coronavirus cases.
  6. World: Africa records over 1 million coronavirus cases — Gates Foundation puts $150 million behind coronavirus vaccine production.

Warren and Clinton to speak on same night of Democratic convention

(Photos: Abdulhamid Hosbas/Anadolu Agency via Getty Images, Sean Rayford/Getty Images)

Sen. Elizabeth Warren and Hillary Clinton both are slated to speak on the Wednesday of the Democratic convention — Aug. 19 — four sources familiar with the planning told Axios.

Why it matters: That's the same night Joe Biden's running mate (to be revealed next week) will address the nation. Clinton and Warren represent two of the most influential wise-women of Democratic politics with the potential to turn out millions of establishment and progressive voters in November.

Trump considering order on pre-existing condition protections, which already exist

Photo: Jim Watson/AFP via Getty Images

President Trump announced on Friday he will pursue an executive order requiring insurance companies to cover pre-existing conditions, something that is already law.

Why it matters: The Affordable Care Act already requires insurers to cover pre-existing conditions. The Trump administration is currently arguing in a case before the Supreme Court to strike down that very law — including its pre-existing condition protections.