director botticelli would like to talk about another barrier for treatment to patients. press accounts suggest that some states are denying patients access to drug courts if they're receiving medication assisted treatments or m.a.t.'s. i understand this is a problem in kentucky, according to some press accounts. so director, can you explain what's going on here, given the important of m.a.t.'s, why are some attempting to cut patients off medicines that can help them recover? director: thank you congressman. as many of my colleagues talked about today, increasing access to medication assisted treatment along with other behavioral therapies is the best course of treatment for people with opioid use disorders. one of the accesses we find in addition to issues around payment have been particularly lack of access within the criminal justice system and we know that many people with opioid use disorders end up in our system. some drug courts haven't adapted policies that national association of drug court professionals endorse in terms of ensuring people who have an opioid use

botticelli: let me start.is actually part of our statutory authority that we set in conjunction not just with hhs, but all federal agencies that have a role in substance use and opioid use disorders. we have been engaged with dod, v.a., bureau of prisons. chairman murphy: you meet regularly? dr. botticelli: we do. we have quarterly meetings. chairman murphy: let me move on that, too. that's important. miss hyde, let me ask you in response to our bipartisan letter of march 18th concerning the national registry of evidence based programs you noted that, quote, new submission and review procedures will improve rigor of registry and bring into closer alignment of other evidence based programs in the federal government. prior to entering into the july 2014 contract, did samhsa feel it needed strengthened? yes or no. do you feel it needed to be strengthened? ms. hyde: thank you for the question. we thought the process we used for determining what practices were reviewed needed to be strengthened, and in the process

botticelli and then anyone else who might comment, please. >> yes.so, first of all, just about staff from all of the agencies on this table coordinate on a daily basis in tight coordination with the indiana health department to make sure we're giving scott county the resources they need to do that. >> i am sure dr. adams appreciates that. >> you're right. i think we are over 145 cases of hiv. one of the consequences we've seen nationally is increases in viral republic tights, ashepatitis as it relates to sharing needles. and i think it also points to some issues that we need to include about access to treatment services. what's happening in indiana and scott county is emblematic of potential we could see in other parts of the country, but point to some issues we have been talking about today in terms of making sure that people have access to good care, both infectious disease and substance abuse. they have adequate access to clean syringes so they're not increasing infection in this most poignant case of what we need, and that they're having timely a

director botticelli does omdcp believe that the federal government should mandate continuing medical education on responsible opioid prescribing practices as a precondition of dea registration to prescribe controlled substances? can you elaborate on how that would work if that's the case? >> sure. we support mandatory prescriber education for all of the evidence that you heard today, it is clear that if we want to prevent prescription drug misuse, heroin use and overdose, we need to stop prescribing these medications so liberally. there was a recent gao report that showed physicians get little to no pain prescribing, veterinarians get more pain prescribing than physicians in the united states. so we don't think it is overly burdensome to require physicians in this epidemic to have education. i think if you talked about it, we would have to work with legislature to look at changes to controlled substances act to ensure that a certified continuing medical education program would be linked to the dea licensure or relicensure process and that we would monitor both -- oversee those course

botticelli about the treatment as well as hiv therapy is. the other thing is indiana is no. 9 in the nation for prescribing and so there's a lot that can be done when you are looking at trying to stop the epidemic so looking at using the prescription drug monitoring program with better guidelines of people don't get addicted to opioids and inject them. that is the third component we need to add. >> administrator hide. >> we got caught by surprise with the indiana epidemic of hiv and this is the fastest growing incidence of hiv cases since it entered the united states but there has been an extraordinary advance in hiv that has emerged over its past few years which is if you initiate someone with antiviral therapy not only are you in improving their outcome to decrease their activity. one of the things i would have suggested to do is you immediately freed them with antiviral therapy. the activity will dramatically decrease. this is another aspect that relates to the issue of giving care. for substance abuse treatment. >> we understand there ar

botticelli? >> thank you, chairman murphy ranking member, members of the subcommittee opportunity provide testimony to you today about the administration's efforts to address the opioid epidemic in the united states. mr. chairman, as recognizing 2013 almost 44,000 americans died of a drug overdose. that's one drug overdose death every 12 minutes. using ondcp's role as the coordinator of the federal drug control agency and 2011 we published the administration's prescription drug abuse prevention plan to address bishop writes a prescription opioid drug abuse in this country since 1999. bastion of the plant consists of action items, categorized under four pillars. education of patients and prescribers, increase prescription drug monitoring proper medication disposal and informed law enforcement. with the work of art hhs partnership today and other federal partners as part of the interagency prescription drug wereworkgroup convened by ondcp, we have made some strides in each of these areas but there'

coverage this afternoon on c-span2 as white house national drug control policy director michael botticelli talks with representatives of the faith and freedom coalition about the criminal justice system. live coverage at 4 p.m. eastern. we have more road to the white house coverage coming up with former pennsylvania senator rick santorum. this saturday plans to announce he is running again for the republican presidential nomination. he won iowa and 10 other states during that time. cheesecake and office 2016 campaign in his hometown of baltimore pennsylvania which is just north of pittsburgh. c-span what live coverage at 5 p.m. eastern. back on c-span2 at eight eastern while congress is a break this week we're showing you booktv programs which are not missing only on weekends. >> koch industry senior vice president and general counsel mark holden takes partner in a discussion on free speech hosted by the national constitution center in philadelphia. topics include political campaign spending and free speech on college campuses. the moderator is jeffrey rosen. it's about 50 minutes. specs f

speaker michael botticelli. this is about one hour. we are thrilled to be one of the partner organizations working on the safety and justice challenge. i want to offer you our congratulations and a particular one of the 20 sites and welcome you to washington dc and the challenge. our role is to convene all of the amazing talent assembled today to the sites who are receiving funding to the technical assistance fighters who will support the sites on their journey to creating better , safer and more effective systems. welcome to the national strategic allies who are rallying around this initiative over the next couple of years. the safety and justice challenge will help spark dramatic change across the country and we are honored to be a part of that. i must tell you that we are being broadcast live today on c-span. if you would like to tweet everyone you know, anywhere that you have ever met, please let them know they can be tuning in right now to see you at this event. we are grateful to c-span2 for being here today. our first speaker is