166 organizations urge Senate to pass MAT Act

August 2022


August 31, 2022

The Honorable Charles Schumer
U.S. Senate
322 Hart Senate Office Building
Washington, DC 20510

The Honorable Mitch McConnell
U.S. Senate
317 Russell Senate Office Building
Washington, DC 20510

The Honorable Patty Murray
U.S. Senate
154 Russell Senate Office Building
Washington, DC 20510

The Honorable Richard Burr
U.S. Senate
217 Russell Senate Office Building
Washington, DC 20510

RE: The Mainstreaming Addiction Treatment Act (“MAT Act”, S. 445 / H.R. 1384)

Dear Majority Leader Schumer, Minority Leader McConnell, Chair Murray, and Ranking Member Burr:

The 166 undersigned organizations urge you to attach the bipartisan Mainstreaming Addiction Treatment Act (“MAT Act”, S. 445, H.R. 1384) to the continuing resolution that the Senate will pass in September. In the midst of a deadly and accelerating overdose crisis, the MAT Act is a common-sense solution that will prevent overdoses, increase access to treatment, and reduce stigma.

In the midst of a deadly and accelerating overdose crisis, the MAT Act is a common-sense solution that will prevent overdoses, increase access to treatment, and reduce stigma.

The MAT Act has strong bipartisan support. The House passed the MAT Act by an overwhelming bipartisan majority as part of the Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666). With more than 250 Democratic, Republican, and Independent co-sponsors – including the Chairs of the Democratic Caucus and the Republican Conference and Senators from all parties, the MAT Act is among the most broadly supported pieces of overdose prevention legislation introduced in Congress this session. Both President Biden’s and President Trump’s former Directors of the Office of National Drug Control Policy have called for Congress to pass the MAT Act.1 They join the bipartisan U.S. Commission on Combating Synthetic Opioid Trafficking in urging Congress to pass the policy.2

Together, our organizations represent and serve millions on the front lines of the overdose crisis. Our organizations include people and families personally affected by the overdose crisis, law enforcement professionals and first responders, health care and behavioral health providers, Veterans, faith-based leaders, recovery and harm reduction specialists, social justice advocates, payers, and public health experts. We have come together to ask you act on the overdose crisis in September, which is National Recovery Month. By passing the MAT Act with the September continuing resolution, you have the opportunity to increase access to a treatment that can open the doors of healing and recovery to millions.

The MAT Act removes outdated barriers that prevent health care providers from prescribing a safe and effective treatment for opioid use disorder, known as buprenorphine. Buprenorphine and medications like it cut the risk of overdose death in half and reduce fentanyl use by preventing painful withdrawal symptoms and stemming opioid cravings. The medication has been FDA-approved for opioid use disorder for twenty years and is available in generic. Buprenorphine is considered a gold standard of care for opioid use disorder because it saves lives and helps individuals secure long-term recovery.3

But due to outdated federal rules that prevent health care providers from prescribing buprenorphine (known as the “X-waiver”), only about 1 in 10 people with opioid use disorder receive medications for the condition.4 Fully 40% of U.S. counties lack a single health care provider who can prescribe buprenorphine for opioid use disorder.5 This lack of access to buprenorphine is devastating our families and causing tens of thousands of preventable overdose deaths each year.6

The MAT Act will help integrate substance use treatment into primary care practices, emergency departments, behavioral health care practices, and other health care settings. The bill will allow all health care providers with a standard controlled medication license to prescribe buprenorphine for opioid use disorder, subject to state licensure requirements. The bill will also expand access to training by launching a national education campaign on best practices for treating substance use disorder. The MAT Act will equip states and local governments with a key tool to address the unique treatment needs of their communities. 

We have witnessed the profound suffering that overdoses have wrought on our families and communities. More than 108,000 loved ones now lose their lives to an overdose in a year, with 2021 marking the deadliest year yet. Two-thirds of those deaths involved synthetic opioids, including fentanyl.7 If we fail to act, a million more families will bury parents and children due to overdoses over the next decade.8

We look forward to working together to make the September continuing resolution as impactful as it can be for the millions of families suffering from the overdose crisis. We urge you to pass the MAT Act with the September continuing resolution to save lives and support healing. With overdose deaths rising at alarming rates, the time to destigmatize and expand access to safe and effective treatment is now. 

Thank you for your consideration. Please reach out to Erin Schanning at End Substance Use Disorder (___@endsud.org) for more information.


AIDS United
American Academy of Emergency Medicine (AAEM)
American Academy of Pediatrics
American Academy of Physical Medicine and Rehabilitation (AAPM&R)
American Association of Psychiatric Pharmacists (AAPP)
American College of Emergency Physicians
American College of Medical Toxicology
American Foundation for Suicide Prevention
American Jail Association
American Medical Association
American Muslim Health Professionals
American Pharmacists Association (APhA)
Association for Behavioral Health and Wellness
Association of American Medical Colleges
Association of Prosecuting Attorneys
Big Cities Health Coalition
Blue Future
Build Back Better USA
Coalition on Human Needs
Community Catalyst
Dooner Social Ventures
Drug Policy Alliance E
nd Substance Use Disorder
Fair and Just Prosecution
Friends Committee on National Legislation
Global Alliance for Behavioral Health and Social Justice
Health in Justice Action Lab
Healthcare Leadership Council
International Association of Fire Chiefs
International Society for Psychiatric Mental Health Nurses
InterReligious Task Force on Central America and Colombia
Law Enforcement Action Partnership
Magellan Health
Mental Health America
National Advocacy Center of the Sisters of the Good Shepherd
National Alliance of State and Territorial AIDS Directors (NASTAD)
National Association for Rural Mental Health
National Association of Attorneys General
National Association of Boards of Pharmacy
National Association of Counties (NACo)
National Association of County Behavioral Health and Developmental Disability Directors
National Association of Pediatric Nurse Practitioners
National Commission on Correctional Health Care (NCCHC)
National Council for Mental Wellbeing
National District Attorneys Association (NDAA)
National Health Care for the Homeless Council
National Health Law Program
National League for Nursing
National Rural Health Association
National Safety Council
National Sheriffs’ Association
National Viral Hepatitis Roundtable (NVHR)
Network Lobby for Catholic Social Justice
New Directions Behavioral Health
Next Harm Reduction aka NEXT Distro
Organizational Wellness Learning Systems
Overdose Crisis Response Fund
Overdose Prevention Initiative at the Global Health Advocacy Incubator
Partnership to End Addiction
PAs in Virtual Medicine and Telemedicine
People’s Action
Police, Treatment, and Community Collaborative (PTACC)
SAFE Project
Society of Behavioral Medicine
Society of Pain and Palliative Care Pharmacists
The Hepatitis C Mentor and Support Group (HCMSG)
The Kennedy Forum
The Pew Charitable Trusts
The Sentencing Project
The United Methodist Church – General Board of Church and Society
Treatment Action Group
Treatment Advocacy Center
Veterans for Common Sense
Wounded Warrior Project
Young People in Recovery

AIDS Alabama (Alabama)
Hometown Action (Alabama)
Southwest Recovery Alliance (Arizona)
CA Bridge (California)
Chop Wood, Carry Water Progressive Action Newsletter (California)
Father Joe’s Villages (California)
Monterey County Prescribe Safe Initiative (California)
Northridge Indivisible (California)
Ascending To Health Respite Care (Colorado)
Colorado Coalition for the Homeless (Colorado)
Peak Vista Community Health Centers (Colorado)
Florida Harm Reduction Collective (Florida)
Hawai’i Health & Harm Reduction Center (Hawai’i)
Hep Free Hawai’i (Hawai’i)
United Vision for Idaho (Idaho)
AIDS Foundation Chicago (Illinois)
Center for Housing & Health (Illinois)
Communities United (Illinois)
Illinois Harm Reduction & Recovery Coalition (Illinois)
Live4Lali (Illinois)
The Night Ministry (Illinois)
Hoosier Action (Indiana)
Iowa Citizens for Community Improvement (Iowa)
VOCAL-KY (Kentucky)
Maine People’s Alliance (Maine)
Health Care for the Homeless-Baltimore (Maryland)
Progressive Maryland (Maryland)
Duffy Health Center (Massachusetts)
Wellness Services Inc. (Michigan)
Hennepin County, Minnesota (Minnesota)
Rights and Democracy (New Hampshire and Vermont)
New Jersey Association of Mental Health and Addiction Agencies, Inc. (New Jersey)
New Jersey Organizing Project (New Jersey)
Newark Homeless Outreach (New Jersey)
Sea Change RCO (New Jersey)
Albuquerque Health Care for the Homeless, Inc. (New Mexico)
Amador Health Center (New Mexico)
Care For the Homeless (New York)
Citizen Action of New York (New York)
Southern Tier AIDS Program/Southern Tier Care Coordination (New York)
Truth Pharm Inc. (New York)
VOCAL-NY (New York)
Benevolence Farm (North Carolina)
Guilford County Solution to the Opioid Problem (GCSTOP) (North Carolina)
Halifax County Health Department (North Carolina)
NC Public Health Association (North Carolina)
North Carolina AIDS Action Network (North Carolina)
North Carolina Harm Reduction Coalition (North Carolina)
Tia Hart Community Recovery Program (North Carolina)
Caracole (Ohio)
Cincinnati Health Network (Ohio)
Harm Reduction Ohio (Ohio)
Nelsonville Voices (Ohio)
Ohio Association of Community Health Centers (OACHC) (Ohio)
OhioCAN (Ohio)
Ohio Council of Churches (Ohio)
River Valley Organizing (Ohio)
Showing Up for Racial Justice Ohio (Ohio)
Central City Concern (Oregon)
HIV Alliance (Oregon)
Oregonizers (Oregon)
Pennsylvania Harm Reduction Network (Pennsylvania)
Reclaim Philadelphia (Pennsylvania)
University of Pittsburgh Medical Center (UPMC) (Pennsylvania)
Project Weber/RENEW (Rhode Island)
United Ways of Tennessee (Tennessee)
United Way of West Tennessee (Tennessee)
Meadows Mental Health Policy Institute (Texas)
Texas Harm Reduction Alliance (Texas)
Blue Mountain Heart to Heart (Washington)
Country Doctor Community Health Centers (Washington)
Family Health Centers (Washington)
Hassanah Consulting (Washington)
Neighborcare Health (Washington)
Northwest Health Law Advocates (Washington)
Public Health – Seattle & King County (Washington)
Summit Pacific Medical Center (Washington)
WA Academy of Family Physicians (Washington)
WA Association of Community Health (Washington)
WA Society of Addiction Medicine (Washington)
Washington Community Action Network (Washington)
Washington State Medical Association (WSMA) (Washington)
Yakima Neighborhood Health Services (Washington)
WV Citizen Action Group (West Virginia)
Citizen Action of Wisconsin (Wisconsin)

  1. Christina Fowler et al, “Family Planning Annual Report: 2020 National Summary,” Office of Population Affairs (September 2021).
  2. U.S. Congress, House, Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2023, and for other purposes, HR 8295. 117th Congress, 2nd Session.
  3. U.S. Congress, Senate, Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2023, and for other purposes, Committee Print. 117th Congress, 2nd Session.
  4. Meghan Kavanaugh, “Use of Health Insurance Among Clients Seeking Contraceptive Services at Title X Funded Facilities in 2016,” Guttmacher Institute (June 2018).
  5. Christina Fowler et al, “Family Planning Annual Report: 2020 National Summary,” Office of Population Affairs (September 2021).
  6. Please note that Louisiana’s and South Carolina’s bans are currently on hold due to court decisions.
  7. US Senate Committee on Finance. “Wyden and Pallone Urge Medicaid to Protect Women and Families’ Right to Choose their Doctor.” (June 9, 2022).
  8. Centers for Disease Control and Prevention. “CDC estimates 1 in 5 people in the U.S. have a sexually transmitted infection.” (January 25, 2021).