Sep 18, 2018

What's next for Congress' opioids bills

(Photo: David L. Ryan/The Boston Globe via Getty Images)

The Senate's opioids bill, which passed last night 99-1, will now have to be reconciled with the House's bill.

What to watch: The House and Senate will need to hammer out a couple of potentially contentious policy issues. The House version also came with a higher price tag than the Senate's, and was paid for with controversial policies that would cost insurers.

Here are the most notable differences lawmakers will need to reconcile:

  1. The IMD exclusion: The House bill lifts the so-called "IMD exclusion" — a ban on federal Medicaid funding for mental health treatment facilities with more than 16 beds. It would allow coverage for up to 30 days a year, until 2023. The Senate bill does not include this provision, at least partially because it's expensive and senators didn't like the way it was paid for.
  2. Mental health records: The House bill, unlike the Senate version, includes a provision that addiction-related health records easier to share between insurance plans and doctors. It updates a law that requires mental health records to remain separate from other health records.
  3. Buprenorphine prescribing: The House bill expands the list of health care providers who can prescribe this form of medication-assisted treatment to include clinical nurse specialists, certified nurse midwives and certified registered nurse anesthetists. The goal is to expand access to MAT.

Why it matters: All of these provisions aim to get more people struggling with opioid addiction into treatment – a big deal, as only a small portion get the help they need.

Go deeper

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 10 p.m. ET: 1,014,673 — Total deaths: 52,973 — Total recoveries: 210,335Map.
  2. U.S.: Total confirmed cases as of 10 p.m. ET: 244,678 — Total deaths: 5,911 — Total recoveries: 9,058Map.
  3. 2020 updates: The Democratic National Committee said its July convention will be postponed until August because of the coronavirus. A federal judge declined to delay Wisconsin's April 7 primary election.
  4. Jobs latest: Coronavirus unemployment numbers are like a natural disaster hitting every state.
  5. Public health latest: Anthony Fauci called for all states across the U.S. to issue stay-at-home orders. The FDA will allow blood donations from gay men after 3-month waiting period, citing "urgent need."
  6. Business latest: Treasury Secretary Steven Mnuchin said oil companies are eligible for aid from new lending programs the Federal Reserve is setting up, but not direct loans from his department.
  7. U.S.S. Theodore Roosevelt: Navy removes captain of aircraft carrier who sounded alarm about coronavirus.
  8. 1 future thing: In developing countries, consequences of COVID-19 could be deeper and far more difficult to recover from.
  9. What should I do? Answers about the virus from Axios expertsWhat to know about social distancingQ&A: Minimizing your coronavirus risk.
  10. Other resources: CDC on how to avoid the virus, what to do if you get it.

Subscribe to Mike Allen's Axios AM to follow our coronavirus coverage each morning from your inbox.

Mark Meadows considers new White House press secretary

Photos: Alyssa Farah, Defense Department; Stephanie Grisham, Alex Wong/Getty Images; Kayleigh McEnany, Scott W. Grau/Icon Sportswire via Getty Images

White House Chief of Staff Mark Meadows has privately discussed bringing on Pentagon spokesperson Alyssa Farah or Trump campaign spokesperson Kayleigh McEnany as a new White House press secretary, two sources familiar with the talks tell Axios.

Why it matters: Meadows' start on Tuesday as Trump's new chief presents a chance to overhaul a press shop that's kept a low profile since President Trump ended the tradition of daily press secretary briefings.

CNN: Fauci advises all states issue stay-at-home orders

Dr. Anthony Fauci listens to President Trump speak during a briefing on April 1. Photo: Win McNamee/Getty Images

Director of the National Institute of Allergy and Infectious Diseases Anthony Fauci recommended on Thursday that all states across the U.S. implement stay-at-home orders, at a CNN town hall.

Why it matters: The recommendation stands in contrast to President Trump's calls for "flexibility." Nearly 4o states have issued stay-at-home orders to promote social distancing as a way to combat the novel coronavirus — but the orders vary in strictness and duration.

Go deeperArrow8 hours ago - Health