禁止对阿片类药物使用障碍药物的事先授权的州法律大幅增加, 2015-23
Ju-Chen Hu1, Kayla Hutchings2, Ali Jalali3
1Ju-Chen Hu (jhu14@tulane.edu), Tulane University, New Orleans, Louisiana.
Health affairs (Project Hope)
|November 3, 2025
概括
禁止对阿片类药物使用障碍 (MOUD) 药物的事先授权的州法律显著增加. 这一趋势反映了立法越来越关注改善获得基本成治疗的机会.
科学领域:
- 公共卫生政策 公共卫生政策
- 药物使用障碍治疗 药物使用障碍治疗
- 医疗保险条例 医疗保险条例
背景情况:
- 预先授权 (PA) 是对治疗阿片类药物使用障碍 (MOUD) 药物获取的重大障碍.
- 虽然私人保险在2023年覆盖了大量阿片类药物使用障碍 (OUD) 患者,但私人保险计划中针对MOUD的PA的具体禁令尚未得到充分理解.
- 了解州级立法行动对于评估访问MOUD至关重要.
研究的目的:
- 综合和分析禁止在美国私人保险中预先授权MOUD的州法律.
- 随着时间的推移,追踪这些立法禁令范围的演变和变化.
主要方法:
- 系统综合禁止在私人保险中事先授权MOUD的州立法.
- 根据立法范围,禁止的分类为"完全" (所有MOUD) 和"部分" (有条件).
- 分析制定此类法律的州数量的趋势以及从2015年到2023年实施的禁令类型.
主要成果:
- 禁止对私人保险MOUD事先授权的州法律数量从2015年的2个增加到2023年的22个.
- 七个州颁布了涵盖所有MOUD的全面禁令,而十五个州实施了具有不同条件和限制的部分禁令.
- 随着时间的推移,一些州从部分禁令过渡到完全禁令,许多州扩大了现有的部分禁令的范围.
结论:
- 禁止MOUD事先授权的州法律显著增加,表明明确的立法趋势是减少进入障碍.
- 这些禁令范围的变化表明正在进行的政策制定和不同国家的方法来确保MOUD访问.
- 这项立法活动强调了MOUD的事先授权,这是旨在打击阿片类药物危机的国家政策重点领域.
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