Drug Addiction Treatment Act of 2000

1. Drug Addiction Treatment Act of 2000 Judith Martin, MD Medical Director, The 14th Street Clinic Oakland

2. Drug Addiction Treatment Act of 2000 (DATA 2000) • Signed by President Clinton October 2000 • Allows prescription of a narcotic to an addicted person for addiction, with certain restrictions:

3. DATA 2000, restrictions:physician training • Certified in addiction medicine, or • Participated in clinical trials • Physician must have 8 hours of training in opiate addiction by specified organizations: • AMA, AAAP, ASAM, AOA, APA

4. DATA 2000, restrictions:Notification required • Physician must submit notification to Secretary of HHS of intent to prescribe, • Certify qualifications (training, certification, or clinical trials) • Certify capacity to refer • Give DEA number (group members too) Wait until drug approved by FDA

5. DATA 2000: waiver • After notification, • Attorney general assigns a number to add to DEA number • Waiver in effect in 45 days

6. DATA 2000, restrictions:Medications allowed • Drug must be approved by FDA for use in treating addiction • Medication must be DEA schedule III, IV, or V (methadone and LAAM are II) Once approved, buprenorphine is the only medication fitting these restrictions

7. DATA 2000 restrictions:number of patients • Solo practice: 30 patients • Group practice: 30 patients • Categories of practice with different limits may be established by regulation. 27, 28, 29

8. DATA 2000, SUMMARY • New law • New treatment setting • New drug • No FDA approval yet