H.R. 2923: The Combat Methamphetamine Enhancement Act of Layne E Subera, DO, FACOFP Health Policy Fellowship Presentation Class of 2010

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1 H.R. 2923: The Combat Methamphetamine Enhancement Act of 2009 Layne E Subera, DO, FACOFP Health Policy Fellowship Presentation Class of 2010

2 Percent of People Reporting MA Use in the Past Year by Region, Percent West Midwest South Northeast Data: SAMHSA, OAS, Results from the 2006 National Survey on Drug Use and Health: National Findings. NSDUH Series H-32, HHS Pub. SMA (2007) Background photo:

3

4 U.S. Methamphetamine Related Hospital Admissions MA Hospital Admissions

5

6 Meth Spreads Eastward Data: Photo:

7 Smurfing Smurf \smәrf\ n, pl Smurfs \smәrfs\ 1 : a fictional character, a blue pixie with a white stocking cap. 2 : a real person, one who obtains components for methamphetamine production by making small purchases in multiple stores. smurfy \smәrfy\ adj

8 Components of a Successful Program

9 States Requiring Electronic Monitoring of Pseudephed Transactions, 2009

10 The Combat Methamphetamine Enhancement Act of 2009 What the Act does 1. Amends the Controlled Substances Act to require all retail sellers of certain listed chemical products that can be used to make methamphetamine to submit self-certifications of compliance with the Act to the Attorney General. 2. Requires the Attorney General to develop a list of all self-certified individuals and make it publicly available on the website of the Drug Enforcement Administration (DEA). 3. Prohibits distributors of listed chemical products from selling such products to individuals not currently registered with the DEA. (Patients would have to register with the DEA to buy Pseudephed.) 4. Impose civil penalties for negligent failure to self-certify as required by this Act.

11 Public Policy and the Royal We The royal we connotes a moral justification for forcing others to live their lives as the personal I sees fit. Inclined to Liberty, p. 12

12 Stats with patient in back ground recovering

13 Supply Side

14

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16 Oklahoma Meth Lab Busts by Year Meth Lab Busts

17 Supporters of H.R. 2923

18 The NPLEx Solution National Precursor Log Exchange Program industry-funded no cost to state and local law enforcement real-time statewide electronic tracking chpa-info.org

19 Competing Legislation H.R. 1671: Meth Mouth and Community Recovery Act (DEMAND SIDE) to determine whether educating youth about meth mouth is an effective strategy for preventing use. intensify research on associations between substance use disorders, oral health, and the provision of dental care. H.R. 439: Family-Based Meth Treatment Access Act of 2009 (DEMAND SIDE) to provide residential substance abuse treatment to pregnant and postpartum women. specifies criteria that allow family drug treatment programs to serve as an alternative to incarceration for nonviolent offenders. H.R. 2818: Methamphetamine Education, Treatment, and Hope Act of 2009 (DEMAND SIDE) to provide for the establishment of a drug-free workplace information clearinghouse to support residential methamphetamine treatment programs for pregnant and parenting women to improve the prevention and treatment of methamphetamine addiction. H.R. 2818: Methamphetamine Education, Treatment, and Hope Act of 2009 (DEMAND SIDE) to collaborate with professionals to raise awareness about how to recognize the signs of a substance abuse disorder and apply evidence-based practices for screening and treating individuals at risk for addiction. revise provisions governing grant programs for residential treatment for pregnant and parenting women with substance abuse to include treatment for addiction to methamphetamine and referrals for dental services. Priority would be given to programs serving areas with a shortage of family-based substance abuse treatment options. H.R. 1900: Border Security, Cooperation and Act Now Drug War Prevention Act (SUPPLY SIDE) provide for emergency deployments of United States Border Patrol agents to increase the number of DEA and ATF agents along the international border of the United States. increase resources to identify and eliminate illicit sources of firearms intended for use by Mexican drug trafficking organizations.

20

21 A community worth A community worth protecting protecting

22 Thank you.

23 10 Steps to Prevent Relapse from Methamphetamine Dependence 1. Make sobriety a priority. 2. Sobriety means abstinence from all intoxicants. 3. Participate in treatment. 4. Recovery Plan with daily goals that involve family. 5. Cut ties with people, places and things associated with use. 6. Develop sobriety based friendships and activities 7. Take care of your body. 8. Nurture your spirit. 9. When you fall, get up. 10. Find opportunity to celebrate your recovery by giving back to family and others who have been hurt. R Weischeit and W White. Methamphetamine: It s History, Pharmacology and Treatment. Center City, MN: Hazeldon.org; 2009, p 225.

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