Tuesday, October 14, 2025

For People with Opioid Addiction, Medicaid ‘Unwinding’ Raises the Stakes

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Medicaid Coverage for Opioid Addiction Treatment: A Lifeline for Many

A Growing Concern

The COVID-19 pandemic brought about a unprecedented crisis in the United States, and many people lost their jobs, health insurance, and access to healthcare. As the pandemic subsided, the federal government ended the COVID-19 pandemic protections, which had kept people continually enrolled in Medicaid, including those with opioid addiction. This has left many individuals like Stephanie, a 39-year-old mother of two, struggling to maintain their treatment and maintain their lives.

A Personal Story

Stephanie, who asked that her last name be withheld, was already facing challenges when she moved to Florida from Indiana. She was unable to find a job and relied on Medicaid to cover her methadone treatment, which she had been using for nearly a decade to manage her opioid use disorder. When she lost her Medicaid coverage, she was devastated. "I thought I was going to be so sick. How am I going to get up and take care of the kids?" she said.

The Consequences of Losing Coverage

According to the KFF Health News, over 25 million Americans, including 1.9 million Floridians, have lost Medicaid coverage since the expiration of the COVID-19 pandemic protections. This has had a significant impact on those with opioid addiction, who rely on the treatment to reduce their cravings and prevent withdrawal symptoms. Research shows that when taken as prescribed, medications for opioid use disorder can reduce dangerous drug use and cut overdose fatalities by more than half.

The Effect on Treatment Centers

Operation PAR, a nonprofit addiction treatment provider in Florida, has seen a significant decline in the number of patients with Medicaid coverage. From 44% to 28% of their patients with opioid treatment have lost Medicaid coverage since the unwinding began. This has put a strain on the organization’s resources, and they are struggling to cover the costs of treatment for uninsured patients.

The Impact on Patients

The loss of coverage can be deadly for those with opioid addiction. When treatment is interrupted, the risk of overdose and death increases. Dr. Zachary Sartor, a family medicine doctor in Waco, Texas, has seen firsthand the devastating effects of losing coverage. "The evidence in the medical literature shows us that things like employment and quality of life overall increase with access to these medications, and that definitely bears out with what we see in the clinic," he said.

Conclusion

The Medicaid unwinding has left many individuals like Stephanie struggling to maintain their treatment and maintain their lives. The loss of coverage can have devastating consequences, including increased risk of overdose and death. It is crucial that we work to find a solution to this crisis, ensuring that those with opioid addiction can access the treatment they need to recover and thrive.

FAQs

Q: What is the current situation with Medicaid coverage for opioid addiction treatment?
A: Over 25 million Americans, including 1.9 million Floridians, have lost Medicaid coverage since the expiration of the COVID-19 pandemic protections.

Q: What are the consequences of losing Medicaid coverage for opioid addiction treatment?
A: Research shows that when taken as prescribed, medications for opioid use disorder can reduce dangerous drug use and cut overdose fatalities by more than half. Losing treatment can increase the risk of overdose and death.

Q: What are some of the challenges faced by treatment centers in the wake of the Medicaid unwinding?
A: Treatment centers are struggling to cover the costs of treatment for uninsured patients, leading to a strain on resources and a decrease in the number of patients they can serve.

Q: What can be done to address this crisis?
A: It is crucial that we work to find a solution to this crisis, ensuring that those with opioid addiction can access the treatment they need to recover and thrive. This may involve increasing funding for treatment centers, expanding Medicaid coverage, and providing support for individuals who have lost coverage.

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