Increase access to Naloxone
Recommendation
Federal agencies and Congress should dramatically expand the distribution of Naloxone, the lifesaving opioid overdose reversal medication, utilizing the widespread distribution of Automated External Defibrillators (AEDs) for heart attacks as a possible model.[1][2] Policymakers should ensure that no-cost naloxone is available to respond to opioid overdoses.
Background/summary
In 2021, nearly 80 percent of overdose deaths were caused by opioids, many of which could have been prevented if Naloxone was readily available and used to reverse the overdose.[3][4] In early 2023, the Food and Drug Administration (FDA) approved the over-the-counter Naloxone nose spray, Narcan.[5] The Biden Administration has launched a campaign to raise awareness of the benefits of this life-saving drug.[3] However, cost can be a barrier to access, as it can vary based on the facility or geographical location where an individual obtains Naloxone.[4] The Administration and Congress should work together to ensure the widespread availability of low-cost (or even free) naloxone. One model that has been scaled successfully are AEDs, devices that can deliver life-saving interventions for individuals experiencing cardiac arrest and are now widely distributed across a range of public and private settings. Federal agencies, including the Department of Health and Human Services, Department of Education, Department of Housing and Urban Development, the Federal Emergency Management Agency (FEMA), and the Bureau of Indian Affairs, should take action to ensure that a variety of funding streams can be used to distribute naloxone and promote such use of funds.[1][2][6]
citations
1. The Kennedy Forum. Recommendations of Congressman Patrick J. Kennedy to the President’s Commission on Combating Drug Addiction and the Opioid Crisis. Last Updated October 2017.
2. Naloxone Affordability Act of 2023. H.R.4005 (Kuster), 118th Congress (2023-2024). Last Updated June 12, 2023.
3. The White House. Biden-Harris Administration Launches Campaign to Raise Awareness About the Dangers of Fentanyl and the Life-Saving Effects of Naloxone in Partnership with the Ad Council. Last Updated April 6, 2023.
4. U.S. Department of Health and Human Services, National Institutes of Health, National Institute on Drug Abuse. What is Naloxone?. Last Updated January 2022.
5. The White House. Dr. Gupta Applauds FDA Announcement to Make First Naloxone Product Available Over-the-Counter. Last Updated March 29, 2023.
6. “Rep. Blunt Rochester, Rep. Kuster, and Rep. Craig Lead Effort to Expand Access to Naloxone.” Last Updated June 13, 2023.