Public Health

The first U.S. reports of counterfeit pills containing fentanyl emerged in a handful of jurisdictions in 2015 and by October 2019, all U.S. jurisdictions reported them. One reason for the proliferation is the ease with which drug traffickers can enter this market. With only a few thousand dollars, a person can purchase a pill press, pill molds, and dies that mimic trademarked pharmaceuticals and enough illicitly imported fentanyl to generate $5 to $20 million in sellable counterfeit pills. Given the simple manufacturing process and low startup costs, counterfeiting is an attractive area for drug traffickers, albeit one that creates substantial health risks to consumers. Despite this, however, there are relatively few federal or state laws governing access to pill press machines, and those that exist do not provide for substantial oversight or assessment. In this fact sheet, the Legislative Analysis and Public Policy Association reviews: (1) what pill presses are and how people obtain them; (2) why fentanyl is an often-used drug in counterfeit pills and the health concerns this poses; and (3) the limited, currently-in-force, applicable state and federal laws....

The content of this blog post is part of the USC-Brookings Institute Schaeffer initiative for Health Policy, a partnership between Economic Studies at Brookings and the University of Southern California Schaeffer Center for Health Policy & Economics. Researchers concluded that effects of the opioid epidemic in the United States have been far-reaching, not just in terms of  health impacts, but also as far as implications for the U.S. economy....

Developed in collaboration with the Earl Carl Institute for Legal and Social Policy at Texas Southern University’s Thurgood Marshall School of Law, the Model School Response to Drugs and Drug-related Incidents Act guides states in establishing a consistent and positive response for public schools to best support students who have drug or drug-related incidents on school premises or at school-related functions....

The purpose of this report was to assess immediate and sustained changes in overall illicit substance ingestion rates among children younger than six before and during the COVID-19 pandemic and to examine changes by substance type, including amphetamines, benzodiazepines, cannabis, cocaine, ethanol, and, opioids. Researchers concluded that there was a sustained increase in illicit substance ingestion during the pandemic and that additional studies are needed to contextualize these findings in the setting of pandemic-related stress....

Drafted in partnership with the O'Neill Institute for National and Global Health Law at Georgetown University, the Model Substance Use Disorder Treatment In Emergency Settings Act establishes and aligns mechanisms for maximizing emergency medical settings as intervention points for people who experience a substance use-related emergency, people with substance use disorders, and their families. It addresses barriers to implementing protocols in emergency medical settings that would ensure evidence-based treatment of patients with substance use-related emergencies....

The Model Substance Use During Pregnancy and Family Care Plans Act: (1) provides certain protections to pregnant or postpartum women with a substance use disorder so that such individuals are not penalized for receiving medical treatment, including medication(s) to treat the substance use disorder; and (2) establishes that an infant born affected by parental substance use disorder or showing signs of withdrawal is not, by itself, grounds for submitting a report of child abuse or neglect....