WASHINGTON (AP) Alarmed by a deadly new twist in the nations drug addiction crisis, the government will allow states to use federal money earmarked for the opioid epidemic to help growing numbers of people struggling with meth and cocaine.
The little-noticed change is buried in a massive spending bill passed by Congress late last year. Pressed by constituents and state officials, lawmakers of both parties and the Trump administration agreed to broaden the scope of a $1.5 billion grant program previously restricted to the opioid crisis. Starting this year states can also use those federal dollars to counter addiction to stimulants, a term the government uses for methamphetamine and cocaine.
Meth and cocaine are making a comeback and they are more potent than they were during the last wave, said Mark Stringer, director of Missouris Department of Mental Health. He oversees the states efforts to prevent addiction, get drug-dependent people into treatment, and support them in recovery. Where meth is much more prevalent than opioids, this will be a game-changer.
About 68,000 people died of drug overdoses in the U.S. in 2018, with opioids involved in about two-thirds of the cases. Opioids are a drug class that includes fentanyl, heroin, certain prescription painkillers, and various chemical combinations concocted for street sales. But the national numbers also hide dramatic differences in the deadliest drugs across the land.
In most states west of the Mississippi meth is the biggest killer, according to government data for 2017. Meanwhile, the highly lethal opioid fentanyl maintains its grip on the East and Midwest. Cocaine ranks third overall nationally in drug-involved deaths.
Sen. Jeanne Shaheen, D-N.H., whose state has been hard-hit by the opioid epidemic, said she was hearing from all quarters last year that the drug-addiction scourge is gradually changing.
They were seeing much more impact from meth and from cocaine, substances they couldnt address because of specific language in the law, said Shaheen, referring to previous restrictions in the federal grant program aimed at opioids.
As a member of the Senate Appropriations Committee, which writes spending bills, Shaheen said she worked with Republican and Democratic leaders to add stimulants not only opioids to the language of the 2020 spending bill.
White House drug czar James W. Carroll said the Trump administration was also hearing calls for more flexibility from state officials, and supported the change.
I know the term opioid crisis is used a lot, and its not my preferred way of describing what were up against, said Carroll. I say what we really have is an addiction crisis.
Other senators pushing to broaden the grant program included Republicans Rob Portman of Ohio and Shelley Moore Capito of West Virginia, also a member of the Appropriations Committee. Their states have been ravaged by opioids.
Federal lawmakers dont want to be caught flat-footed if another drug crisis breaks out in an election year. The nation has been starting to see progress on opioids, with deaths declining slightly.
Last week the House Energy and Commerce Committee sent letters to federal agencies requesting detailed information on evolving patterns of cocaine and meth use.
We are concerned that while the nation, rightly so, is devoting so much of its attention and resources to the opioid epidemic, another epidemic this one involving cocaine and methamphetamine is on the rise, wrote committee leaders Chairman Frank Pallone, D-N.J. and ranking Republican Greg Walden of Oregon.
Meth, which was once cooked in makeshift labs in the U.S., is now produced by Mexican cartels and smuggled across the border. The price of the drug has dropped even as its purity has risen.
