Mission: To organize recovering individuals, families and friends into a collective voice to educate the public about the value of recovery from alcohol and other addictions.
Vision: MOAR envisions a siociety where addiction is treated as a significant public health issue and recovery is recognized as valuable to all our communities.
We seek to continue to build a recovery informed society where recovery becomes a societal "norm" and prevention a societal "given".
visible, vocal, valuable, victorious
WWW.MOAR-Recovery.Org and Like on Facebook
Mission: To organize recovering individuals, families and friends into a collective voice to educate the public about the value of recovery from alcohol and other addictions.
Vision: MOAR envisions a society where addiction is treated as a significant
public health issue
and recovery is recognized as valuable to all our communities
We seek to continue to build a recovery informed society where recovery becomes a societal "norm" and prevention a societal "given"
Visual, Vocal, Valuable, Victorious
How do We Make Massachusetts #1 for Prevention, Treatment, and Recovery!
Congratulate Yourselves for Taking Action Today for a Better Tomorrow
More Detox and Rehab Availability
Alcohol and Drug Free (Sober Homes) Certification
Increased Narcan Funding
Improving The New Prescription Monitoring Program
Creating Capacity for Tamper Proof Prescription
Access and Increasing Length of Treatment Removing Insurance Authorization
Making Licensed Alcohol and Drug Clinician I’s Insurance Reimbursable in one public policy measure?
SAFE MA to make sure that alcohol advertising is off all
publicly supported buildings.
Speaking Out Works
Addiction in Massachusetts and the Need for Increased Prevention, Treatment, and Recovery
The Substance Abuse and Mental Health Services Administration (SAMHSA) issues reports about the rates of alcohol and drug use in Massachusetts, the Adolescent Behavior Health: In Brief and Behavioral Health Barometer: Massachusetts. The Stats :
About 68,000 adolescents in Massachusetts used an illicit drug in the past month; 38,000 used prescription pain relievers non-medically; and 170,000 used alcohol and/or engaged in binge drinking
About 368,000 persons aged 21 or older are dependent on or abused alcohol
About 173,000 people aged 12 or older reported being dependent on or abused illicit drugs
32,000 adolescents needed but did not receive treatment for alcohol or drug addiction
352,544 persons aged 21 or older needed but did not receive treatment for alcohol problems
148,607 persons needed but did not receive treatment for illicit drug problems
MOAR is a member of Massachusetts Coalition for Addiction Services
The Massachusetts Coalition for Addiction Services is a group of advocacy organizations that have come together to speak with one voice to strengthen support for the expansion of funding for addiction prevention, treatment and recovery support services and increased access to these services for people with alcohol & other addictive disorders.
Every year, the governor’s office, House, and Senate prepare a budget for all state funded entities.
MCAS educates all involved every step of the way.
What MOAR Happened in The State Budget for 2015!
Thank you for Educating Our Policymakers and Thank You to Our Policymakers!
First, The Governor and Legislature Agreed due to the Expanding Opioid Epidemic, (which does not rule out
other drug problems) that $10 million more annually is at minimum needed to
build prevention, treatment, and recovery support services
Second, The Budget is Put Together by Line Items – which gives a unique identification code to help
“budget” for spending in different category
Here We Go
Line Item 4512-0200: $91,317,000
(major operations with assurance that
$500,000 go to alcohol and drug free housing certification
$2,000,000 shall be expended to support and strengthen public access to substance
abuse services in the commonwealth including, but not limited to, the following:
(a) not less than $1,000,000 for expanding central intake capacity, as defined in section 18 of chapter 17 of the General Laws;
(b) expanding the number and type of the facilities to provide treatment;
(c) expanding detoxification services in the public system by no less than
32 public detoxification beds and 32 clinical stabilization services beds and
(d) not less than $375,000 for placing addiction specialists in selected courts;
and provided further, that said courts shall include, but not be limited to,
Brockton, Quincy and Plymouth courts.
Line Item 4512-0201: $4,800,000 to support existing Clinical Stabilization Services/post-detox step down services
Line Item 4512-0202: $2,000,000 to support the Jail Diversion Program
Line Item 4512-0203: $1,500,000 to support existing Family and Young Adult Intervention Services
Line Item 4512-0204: $1,000.000 for a a new line-item to fund pilot programs to train first-responder and by-stander communities how to purchase and administer Naloxone/Narcan in communities with high incidences of opioid overdoses.
The greatest predictor for recovery from alcohol and other addictive disorders is length of stay in treatment
Opioid Overdose Epidemic
From 2000- 2012~ 7625 Massachusetts residents died from opioid-related overdoses (e.g. heroin, oxycodone, or fentanyl). (an increase of 90%) Governor Deval Patrick on March 27th, declared a public health emergency in Massachusetts in response to the growing opioid addiction epidemic. The Governor directed the Department of Public Health (DPH) to take several action steps that will combat overdoses, stop the epidemic from getting worse, help those already addicted to recover and map a long-term solution to ending widespread opiate abuse in the Commonwealth.
The use of oxycodone and other narcotic painkillers, often as a route to heroin addiction, has been on the rise for the last few years in Massachusetts. At least 140 people have died from suspected heroin overdoses in communities across the Commonwealth in the last several months, levels previously unseen. From 2000 to 2012, the number of unintentional opiate overdoses increased by 90 percent.
MOAR Executive Director, Maryanne Frangules and Board Member Paul Kusiak participated in the
Governor Deval Patrick’s Opioid Task Force – See Below!
Opioid Task Force recommends clearer pathways to treatment, expanded Treatment Beds,
Enhanced Opioid Education Programs to Help
BOSTON - Tuesday, June 10, 2014 - Governor Deval Patrick today announced a series of actions to
address the opioid addiction epidemic in Massachusetts that will strengthen the state's ability to respond
to the opioid crisis with a focus on prevention, intervention, treatment and recovery.
Over the past two months, the Governor's Opioid Task Force met with families and stakeholders from
across the Commonwealth and worked with the Department of Public Health to develop a set of findings
and recommendations designed to improve the Commonwealth's opioid abuse prevention and treatment
systems, prevent opioid misuse and addiction, increase the numbers of persons seeking treatment, and
support persons recovering from addiction in our communities.
"These actions will help enhance our network of treatment and recovery services to help communities and
families struggling with addiction," said Governor Patrick. "I hope this work results in more families
talking openly about issues of addiction in order to spark the process of healing and recovery."
Governor Patrick announced the Task Force's findings and corresponding recommendations from DPH
this morning at the Ostiguy Recovery High School in Boston, one of four recovery high schools in the
state. Ostiguy provides a structured school environment for high school-aged youth in recovery, which
allows them to complete their education while receiving appropriate treatment and supports.
Governor Patrick's Actions to Address the Findings of the Task Force include:
Convening of Regional Governors: As this crisis is not only facing Massachusetts, but also other states in New England and across the nation, Governor Patrick met with New England governors on June 17th at Brandeis University to discuss a regional response to the opioid epidemic.
Expanding and Streamlining Access to Services: In order to meet the escalating demand for treatment, ensure a comprehensive continuum of care and facilitate access to coordinated care, DPH will expand community-based and residential treatment programs for underserved populations, including adolescents, young adults and families with children. DPH will also develop a central navigation system that will maintain a real-time inventory of available services across the Commonwealth to assist individuals in finding appropriate treatment.
Enhancing Opioid Education: DPH will launch a statewide awareness campaign for youth and parents to promote more openness and public dialogue about issues of addiction and recovery. The Commonwealth will also help enhance education for medical professionals on best-practices in identifying and treating individuals with opioid addiction.
Addressing Insurance Practices: DPH and the Division of Insurance, in consultation with the Health Policy Commission, will conduct a comprehensive review of insurance coverage for opioid addiction treatment. The agencies will consult with clinical experts to develop minimum criteria for opioid abuse and addiction treatment services that will be considered medically necessary for all patients. The Task Force found that gaps in coverage were impacting services for individuals in need.
Expanding Correctional System Treatment: The Commonwealth will work to provide individuals with enhanced support and treatment for drug addiction when they leave correctional facilities and integrate back into society. The report recommends additional funding to expand the use of injectable naltrexone (Vivitrol), an opioid antagonist, to help individuals in the custody of the Department of Correction and Houses of Correction to continue their recovery as they re-enter the community.
Strengthening Safe Prescribing and Dispensing: DPH will work with the boards of registration to consider regulations to minimize diversion and misuse while ensuring safe prescribing and patient access to medication.
Expanding Peer-Support Networks: The Administration will work with communities to expand peer support networks comprised of individuals in recovery who provide guidance to those navigating pathways out of addiction. The Task Force recommends adding new Recovery Support Centers and expanding the hours of existing Recovery Support Centers to provide places for people in recovery to spend time involved with safe, drug-free activities in the community. The Task Force also recommends adding a recovery school in Central Massachusetts.
The Opioid Task Force's full report, including all findings and recommendations, can be found Here (click the aforementioned link)
So What about The Lack of Enforced Insurance Parity
Even MOAR Improved Prescription Monitoring, Emergency Drug Scheduling,
and Licensed Alcohol and Drug Clinician I Insurance Reimbursement
Senate President Murray authorized Senator Jennifer Flanagan to hold hearings across the state on these matters – and with your help ………
What did The Legislative Task Force Find out?
In 1995, Oxycontin came about as a “ harmless drug” that would help those in severe pain.
By the year 2000, Oxycontin was taking the lives of many people, younger by the day.
From 2002-2010, 5529 people died from opiate and other drug overdoses.
In the 1980’s Managed Care Companies started to be hired by insurance companies to cut the inpatient stays of people with addiction.
By 1995, 28 day treatment for addiction was becoming obsolete
In 2003, Licensure for Alcohol and Drug Clinicians became a reality
Despite, Being Licensed, Alcohol and Drug Clinicians are not insurance reimbursed.
By 2006, practically the only way to get long term inpatient treatment was to section 35, (court order a person to treatment, because they are of danger to themselves and others)
The Need for the Availability of Long Term Treatment
to help a person become stabilized in mind and body is paramount to move on in the continuum of care
The Prior authorization barrier must be removed to make this happen.
There is a strong need for skilled, competent, and educated licensed alcohol and drug clinical services be authorized reimbursement
Continued prescription monitoring improvement and tamper proof medication is needed to ascertain that they are given for the right diagnosis
The State’s Health Plan Association Claims
Mandated benefits are one reason that the cost of coverage in Massachusetts is so high.
State and federal mandates account for 15 cents of every new health care dollar1
mandating health care benefits because it limits employers' and consumers' ability to manage their health care costs and can lead to significant increases in the cost of coverage.
MOAR Would Differ with The Health Plan Association and asks What it Does Cost for Massachusetts families to pay for the funerals, and the emotional wear and tear of having a loved one die from addiction …..and to know that their insurance company did not pay for
any or at least adequate treatment or staff.
Massachusetts families to wait in hospital emergency rooms (and the cost of that wait)
to be denied treatment
Massachusetts families and treatment providers to hire staff to appeal insurance denials.
…………..as insurance companies wait for the families to stop the appeal because it is too
labor and time intensive.
So a Campaign for Addiction
Prevention, Treatment and Recovery
On August 6th, 2014, Governor Deval Patrick signed Transformative Addiction Prevention, Treatment, and Recovery Legislation formulated in response to the opioid epidemic. Thank you for your support and advocacy, it makes a difference! You can view the bill in its entirety here.
Summary of the Legislation
Requires all MassHealth Managed Care Companies to cover the cost of detox (Acute Treatment Services (ATS)) without prior authorization.
This means you can go into detox without having to get an ok from Mass Health!
Requires MassHealth Managed Care Companies to cover up to 14 days of step-down detox (Clinical Stabilization Services (CSS)) without prior authorization. Utilization review (documentation of the purpose and process of care) procedures may initiate by day 7.
This means you can get “rehab” without a MassHealth ok
Requires private insurers and that for government employees to cover up to 14 days of detox (ATS) & step-down detox (CSS) services without prior authorization. Utilization review procedures may initiate at day 7.
Requires All Insurers to accept the treating clinician for medical necessity criteria.(justification for treatment)
Requires all insurers to reimburse for addiction treatment services delivered by a Licensed Alcohol and Drug Counselor (LADC 1).
(only clinicians that must have addiction plus mental health counseling skills, education, and training)
The mandated benefits listed above are effective October 1, 2015.
Removes prior authorization for any addiction treatment service if the provider is certified and licensed by the Department of Public Health (DPH). (This means the provider has passed DPH treatment standards)
Directs the Center for Health Information and Analysis (CHIA) to review the accessibility of addiction treatment and the adequacy of insurance coverage and tasks the Health Policy Commission with recommending policies to ensure access and coverage to addiction treatment.
· CHIA is the Massachusetts agency which analyzes the quality, purpose, and cost of health services.
· CHIA will have to review the availability of addiction treatment, and just how well insurance covers it
· CHIA must review private insurance companies denial rates for addiction treatment
And it will order The Massachusetts Health Policy Commission to come up with recommendations to ensure the availability and insurance coverage for addiction treatment
The Massachusetts Health Policy Commission is tasked with keeping the costs of healthcare down and quality up.
Requires The Drug Formulary Commission to add members from DPH, Medicaid, the Department of Insurance and individuals with experience in the making of drugs, addiction medicine and treatment of chronic pain.
Requires the Drug Formulary Commission to prepare a drug formula of chemically equivalent substitutions for opiates determined to potentially abusive.
The Massachusetts Drug Formulary Commission is the state appointed body that looks at the purpose, availability, definition, toxicity, and substitution for medications
Requires a pharmacist to dispense a substitution for a potential addictive drug unless a physician has indicated otherwise . Insurance carriers are required to cover an equal amount of both
Allows The DPH Commissioner to define a substance as Schedule 1 (dangerous and not necessary) for up to one year if it poses an imminent hazard to public safety.
Requires the Chief Medical examiner to file a report with the FDA’s MedWatch Program (Food and Drug Program that checks for food and drug safety) and DPH when a death is caused by a controlled substance and directs DPH to review the Prescription Monitoring Program (PMP) upon receiving a report.
Requires an opioid treatment program that is not otherwise licensed and has more than 300 patients receiving medication assisted drug therapies by physicians who are not members of the practice to be licensed by DPH. DPH is required to issue best practices related to medication assisted therapy.
Requires DPH to report to the Legislature on whether doctors are using the PMP, the number of physicians and pharmacist violations and their outcomes and recommendations on how to improve the use of the Program’s data and how to prevent the diversion of prescription drugs.
Creates a commission to review prescription painkiller limitations by insurance carriers and report recommendations and proposed legislation to the Legislature.
Requires DPH to list locations of prescription drug drop boxes on their website and submit a list of counties without a prescription drug drop box to the Legislature.
Requires acute hospitals to report on a monthly basis the number of infants born exposed to a controlled substance and hospitalizations caused by the ingestion of a controlled substance to DPH.
Thank you for your ongoing advocacy and support.
Vic DiGravio, President/CEO, Association for Behavioral Healthcare
Maryanne Frangules, Executive Director, Massachusetts Organization for Addiction Recovery
Problem: Medical Marijuana Implementation - Making Sure it is Safely Implemented!
MOAR has serious concerns about The Medical Marijuana Law.
We want for Medical Marijuana to be implemented in a way that supports
both public health and safety, with youth prevention.
Go to http://www.mass.gov/eohhs/gov/departments/dph/programs/hcq/medical-marijuana.html on the web to find the passed regulations
Senator Tarr’s Bill S923 An act protecting minors from the harmful effects of Marijuana
went into study so no further action will be taken this legislative year
“An act protecting minors from the harmful effects of Marihuana” would keep with the intent of the 2008 ballot measure and not impose any criminal penalties on any person age 21or over, but it would, for those under the age of 21:
give district attorney offices the opportunity to utilize their successful diversion programs, used at their discretion in lieu of prosecution, which are typically composed of counseling, community service, and treatment;
allow any person who had not previously violated any drug laws, and who is not offered pretrial diversion, to complete pretrial probation, and upon successful completion of the probation have the case dismissed and the records sealed;
provide for misdemeanor punishment, resembling the punishment for minor possession of alcohol, for possession of an ounce or less of marihuana by a person under the age of 21;
carry a fine of not more than $100 and a loss of license for 90 days for a first offense conviction;
for a second or subsequent offense, carry a fine of not more than $150 and a loss of license for 90 days.
Underage Drinking Prevention
Problem: Research Shows: Exposure to alcohol advertising increases the consumption of alcohol by teens, especially binge drinking
Solution: Supporting an Alcohol Advertisement Free Environment in Massachusetts
But H2897 was moved to a Study Order, which means it is essentially dead for this legislative year, and will have to be reissued.
SAFE-MA (formerly MBTAA—Massachusetts Banding Together Against Alcohol Advertising) was
formed in 2005 to address the issue of alcohol advertising on MBTA property. Over the past 7 years,
SAFE-MA has: conducted surveys of youth T-riders; increased its membership to over 35
organizations/coalitions; mobilized and trained youth leaders to advocate; collected hundreds of letters of
support and signatures on petitions; educated MBTA leaders, local and state legislators about the effects of alcohol advertising on youth and underage drinking; and partnered with local and national researchers to collect data about alcohol advertising targeting urban youth.
Through persistent efforts and committed leadership, SAFE-MA members were able to
persuade the former General Manager of the MBTA to consider the health of Massachusetts youth
and the affect that alcohol advertising has on youth drinking rates. With his support, SAFE-MA
convinced other T and state leaders that an alcohol ad ban was “the right thing to do”.
Thanks to SAFE-MA, Boston now joins many other major U.S. cities that have banned alcohol ads on public transportation… as of July 1, 2012!
Young people riding the T will no longer be exposed to the false advertising that drinking will
make you sexier, stronger or popular. As the research shows, with fewer alcohol ads in
Massachusetts, there will be fewer underage drinkers in Massachusetts.
SAFE MA had been working with Representative Martin J.Walsh , now Mayor of Bostonto educate policymakers and the public that alcohol ads should be removed from all state property.
For more information – Contact Elizabeth Parsons at Elizabeth.Parsons@steward.org or
Cory Mashburn at email@example.com
What about alcohol and drug prevention within a strong health curriculum in our schools ?
H421 An Act relative to comprehensive health education in schools.. Hearing was May 14th, 2013
- In The Joint Committee on Education.. Call BPHC Government Relations - (617) 534-2288
Note: The state budget and Opioid Task Force Report addresses measures related to alcohol and other drug
education in the schools
Problem – Why is Sentencing for People with Drug Addiction so Unfair What can We Do?
Ever caught with drugs in the past ………….and then lose your license for 5 years ?
“Collateral Sanctions” at the RMV
License Suspension and a $500 fee for offenses un-related to driving
When people re-build their lives after a drug conviction, they face obstacles such as probation fees, court costs, and the stigma of having a CORI. In addition, there is a special penalty just for them.
Under current law, a person convicted of a drug offense – including those un-related to driving – loses her or his driving privileges for up to 5 years, and must pay at least
$500 to reinstate the license.
On average, 7,000 people a year lose their driving privileges due to this law.
Only about 2,500 people a year are able to pay the fee and get their licenses back
Employers value applicants who have driver’s licenses, even if the job rarely involves driving.
The fee ($1M annually) does not go directly toward drug treatment or safe driving classes. The revenue is also more than offset by the cost of administering this law (see next point).
Approximately 700 people per year who lost their licenses because of this law are subsequently arrested for driving without a license. Not only does this keep the revolving door of prison swinging, but it creates a situation where thousands of people are driving without insurance.
Solution - You can Support Senator Harriette Chandler and Representative Liz Malia, champions of CORI Reform law, are sponsoring a bill (S.1643 /H.3099) to repeal this driver’s license suspension and clean up the driving records of people whose licenses . Contact EPOCA - Ex-Prisoners Organizing for Community Advancement-
(508) 713-8420 or www.exprisoners.org were suspended the past in the past. Both of these measures are in House and Senate Ways and Means Committee.
Let’s Talk about Families Against Mandatory Minimums Proposal
Both Measures Died in The Current Legislative Process
An Act to Repeal Mandatory Minimum Sentencing Laws for Drug Offenses H1646 - Rep Swan
This bill would repeal all mandatory minimums for drug offenses and instead let courts impose a sentence that fits the crime. It would also make all drug offenders serving mandatory minimums when the bill is enacted eligible for parole, work release and earned good time after serving half of the mandatory minimum for their offense.
An Act to Reform the "School Zone" Law for Drug Offenses H.1645 - Rep Swan
This bill would reduce the size of school zones from 300 feet to 100 feet, exclude from the school zone law those drug offenses that occur within a private home as well as instances where a student under 18 sells drugs to another student at her or her school. It would also allow all school zone offenders to be eligible for parole, work release and earned good time after serving half of the mandatory minimum. Finally, a school zone sentence could be served at the same time as another drug-related sentence.
For Information - Contact Massachusetts Project Director: Barbara J. Dougan
Telephone: (617) 543-0878 Email: firstname.lastname@example.org
Let’s Talk about Drug Courts
Bill H3825 “An Act to provide Addiction/Sobriety Solutions through Increased Substance
Sponsored by Representative Randy Hunt
(The purple bold faced section passed in The State Budget for 2015)
Calls for A special commission will be established to develop eligibility criteria for mandated treatment of non-violent offenders with substance abuse addictions
The commission will consist of a court admin, court chief justice, attorney general, secretary of public safety, commissioner of DOC, chair of parole board, commissioner of dept of probation, chief counsel of public services, one member of the senate, two members of the house, President of the Mass District Attorney’s Office, President of the Mass Bar Association, one substance abuse treatment expert, and one mental health treatment expert.
There will be an evaluation of on recommendations of specialty courts that address substance abuse including, availability of such courts, best practices of in establishing quality of services, evaluation of non-violent offenses committed by substance addicted offenders.
Consideration of eliminating or adjusting mandatory minimum sentencing for non-violent substance abuse offender
Research and References:
The incarceration rate over the last 3 decades has dramatically increased due to harsher sanctions imposed on drug offenders. There are beliefs that these policies have resulted little or no impact on reducing illegal drug use. It is actually believed that these heavy sanctions could possibly have had adverse consequences for social and community health. The criminal justice system alone has proved to be ineffective in managing the drug problem we face globally. progress has just started recently, when court systems have managed drug use and addiction as a significant public health issue and offer treatment over incarceration.
Worldwide, we are at an all-time high with the number of people being incarcerated over 10 million. In the United States nearly 1 in every 31 adults are in jail or on probation or parole. According to the Global Commission on Drug Policies, the incarceration of low-level drug offenders has criminogenic effects that increase the likelihood of recidivism and additional criminal behavior. Growing evidence indicates that drug treatment and counseling programs are far more effective in reducing drug addiction and abuse than is incarceration.
On a related note, 5 new drug courts are to be added to the Massachusetts Trial Court System;
Lowell, Brockton, Fall River, Dudley, and Taunton
Speaking Up for Addiction Prevention, Treatment, and Recovery Works!
Individuals in Recovery, Families, and Friends Spoke Up
So Now We Have – and Of Course We want MOAR good services!
4 Recovery High Schools in Springfield, Boston, Beverly and Brockton !
2 Statewide Adolescent Crisis Stabilization (Worcester & Brockton), detox with follow up
Highpoint Brockton Men’s Addiction Treatment Center, (section 35) civilly committed
Highpoint New Bed Women’s Addiction Treatment Center, Section 35, New Bedford
Section 35 Expansion from 30 to 90 days with follow up
Alcohol and other drug screening, treatment referral in 7 hospital emergency rooms and beyond!
Maintenance and Improved long-term, residential, addiction recovery services
6 Regional Clinical Support Services (rehab for post detox or that does not require medical detox)
6 Regional Recovery Support Centers with a variety of support services
Governor’s Opioid Task recommends 3 more – plus more peer to peer support
Office of Youth and Young Adult Services with Family Involvement
One State supported Diversion (residential treatment vs. imprisonment) for low level offenders
31 Under Age Drinking Prevention Coalitions;
MOAPC – 13 Massachusetts Opioid Abuse Prevention Coalition helping 71 cities and towns
Governor’s Opioid Task Force recommends more in 2015
Partnerships for Success II (PFS II) to address prescription drug misuse and abuse among persons ages 12 to 25 in eight high-need communities
Good Samaritan Law to promote calling 911 and prescribe narcan to save lives from overdoses
Learn to Cope Family Support Groups educating families to use narcan
Strong Prescription Monitoring Law
Bringing Recovery Support Services to Scale Policy Recommendations!
Mental Health and Addiction Parity Passed with Opportunity to Make it Stronger
LADC/Recovery Supports/ in Payment Reform for Accountable Care Organization
State Behavioral Health Task Force validates Payment Reform Recommendations
Access to Recovery (Federal grant- BSAS administered) is helping people in recovery Access Support to Maintain Recovery
8/02/14 - MOAR Info--Maryanne@MOAR-Recovery.Org