Medication-Assisted Treatment: Changes in Federal Policy Will Help Increase Access to Opioid Treatment in the HCH Community

Webinar Slides(PDF)

The Comprehensive Addiction and Recovery Act of 2016 (CARA) expanded buprenorphine prescribing rights to nurse practitioners and physicians’ assistants, while changes in federal regulations increased patient limits. At the same time, many homeless health care providers have been adding MAT services into their primary care practice and finding both challenges and opportunities with implementation. Complementing our recent policy brief, this webinar will include perspectives from the Substance Abuse and Mental Health Services Administration (SAMHSA) on the current status of finalizing the expanded prescriber rights and increased patient limits, and a panel of HCH providers from two states who will discuss the best ways to enhance access to MAT services based on their own programs.

Note: SAMHSA has a dedicated site regarding the upcoming launch of the NP-PA waivers to prescribe, to include an email sign up for more information on the upcoming launch of the application and SAMHSA-sponsored training opportunities.



  • Brian Altman, JD, Director, Division of Policy Innovation, Office of Policy, Planning and Innovation, SAMHSA
  • Nilesh Kalyanaraman, MD, Chief Health Officer, Health Care for the Homeless, Baltimore, MD
  • Laura Garcia, FNP, Director of Adult Medicine, Health Care for the Homeless, Baltimore, MD
  • Brianna Sustersic, MD, Senior Medical Director of Primary Care, Central City Concern, Portland, OR
  • Lydia Bartholow, DNP, PMHNP, CARN-AP, Old Town Clinic, Central City Concern, Portland, OR


  • Barbara DiPietro, Senior Director of Policy, National HCH Council, Nashville, TN
Categories: Behavioral Health, Harm Reduction, Medication Assisted Treatment, Policy and Advocacy, Substance Use
Tags: Webinar
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