A Surging Drug Epidemic: Time for Congress to Enact a Mandate on Insurance Companies and Rehabilitation Facilities for Opioid and Opiate Addiction.

Journal of law and health Pub Date : 2018-01-01
Alanna Guy
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Abstract

This Note begins with a discussion of both the national opioid problem as well as the specific epidemic in Ohio as an example of how it has grown within all of the states. Part II discusses the differences between prescription opioids and opiates, how they can be obtained, what effects they have on the human body, and why the government has an interest in this growing problem. Next, this Note explains how and why there was an increase in access and addiction to prescription opioid pain medication. Following this explanation, the steps the government has taken to try to rectify the issue are explained. Part II then explores more details about the problem of heroin use--explaining what the drug is, what an overdose looks like, and how fentanyl-laced heroin is contributing to the problem. Similar to the pain medication description, there is a discussion on steps the government has taken thus far to combat the opiate issue. Finally, Part II introduces a United States Supreme Court case, National Federation of Independent Business v. Sebelius. In Part III, there is an in-depth analysis of why the state government solutions for dealing with the opioid epidemic have not worked thus far. This Note argues that, because even the strides that states like Ohio have taken have not solved the problem, Congress should mandate that all rehabilitation facilities accept health insurance and that all health insurance companies cover the cost of rehabilitation for opiate and opioid addiction. Analysis of the Commerce Clause, the Necessary and Proper Clause, and the Taxing Clause show that Congress has the authority to make such demands.

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毒品泛滥:国会是时候颁布一项针对阿片类药物和鸦片成瘾的保险公司和康复机构的授权了。
本说明首先讨论了全国阿片类药物问题以及俄亥俄州的具体流行病,作为它如何在所有州内发展的一个例子。第二部分讨论了处方阿片类药物和阿片类药物之间的区别,如何获得它们,它们对人体有什么影响,以及为什么政府对这个日益严重的问题感兴趣。接下来,本说明解释了处方阿片类止痛药的获取和成瘾增加的方式和原因。在此解释之后,解释了政府为纠正这一问题所采取的步骤。第二部分探讨了更多关于海洛因使用问题的细节——解释毒品是什么,过量是什么样子,以及芬太尼海洛因是如何导致这个问题的。与止痛药的描述类似,讨论了政府迄今为止采取的打击鸦片问题的步骤。最后,第二部分介绍了美国最高法院的一个案例,全国独立企业联合会诉西贝利厄斯案。在第三部分中,深入分析了州政府处理阿片类药物流行病的解决方案迄今尚未奏效的原因。本说明认为,由于即使像俄亥俄州这样的州已经取得了长足的进步,也没有解决问题,国会应该强制要求所有康复机构接受健康保险,所有健康保险公司承担阿片类药物和阿片类药物成瘾的康复费用。对《商业条款》、《必要和适当条款》和《征税条款》的分析表明,国会有权提出上述要求。
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