{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T20:46:28Z","timestamp":1774644388187,"version":"3.50.1"},"reference-count":32,"publisher":"American Public Health Association","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:p> Objectives. To evaluate changes in monthly buprenorphine dispensation associated with federal prescribing policies in Washington State from 2012 to 2022. <\/jats:p><jats:p> Methods. We conducted an interrupted time series analysis comparing monthly buprenorphine prescriptions dispensed per 1000 population after the Comprehensive Addiction and Recovery Act (CARA), Substance Use-Disorder Prevention That Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT), and new prescribing rules during the COVID-19 pandemic. Buprenorphine formulated for opioid use disorder was included from the Washington State Prescription Monitoring Program. A log-linear autoregressive model measured linear trend changes. <\/jats:p><jats:p> Results. Physician prescribing increased by 1.63% (95% confidence interval [CI]\u2009=\u20091.41%, 1.85%) per month after CARA with sustained declines after SUPPORT. Nurse practitioner (NP) prescribing increased by 19.48% (95% CI\u2009=\u200918.8%, 20.16%) per month after CARA with physician assistants (PAs) showing similar trends. Following the implementation of SUPPORT, NP and PA trends continued to increase at a reduced growth rate of 3.96% (95% CI\u2009=\u20092.01%, 5.94%) and 1.87% (95% CI\u2009=\u20090.56%, 3.19%), respectively. No prescribers experienced increases during the COVID-19 pandemic. <\/jats:p><jats:p> Conclusions. CARA nearly tripled the buprenorphine prescribing rate. The SUPPORT Act initiated sustained declines for physician prescribing, and the COVID-19 period reversed gains for PAs and NPs. The current opioid crisis requires expanded efforts in Washington State. ( Am J Public Health. 2024;114(7):696\u2013704. https:\/\/doi.org\/10.2105\/AJPH.2024.307649 ) <\/jats:p>","DOI":"10.2105\/ajph.2024.307649","type":"journal-article","created":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T19:59:53Z","timestamp":1714679993000},"page":"696-704","source":"Crossref","is-referenced-by-count":2,"title":["Federal Impacts on Buprenorphine Prescribing in Washington State, 2012 to 2022"],"prefix":"10.2105","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1375-4004","authenticated-orcid":false,"given":"Fan","family":"Xiong","sequence":"first","affiliation":[{"name":"Fan Xiong and Jillian Jetson are with the Washington State Department of Health, Tumwater, Washington. Cheolwoo Park is with the Department of Mathematical Sciences, Korea Advanced Institute of Science and Technology, Daejeon, Republic of South Korea. Chris Delcher is with the Institute for Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Kentucky, Lexington."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jillian","family":"Jetson","sequence":"additional","affiliation":[{"name":"Fan Xiong and Jillian Jetson are with the Washington State Department of Health, Tumwater, Washington. Cheolwoo Park is with the Department of Mathematical Sciences, Korea Advanced Institute of Science and Technology, Daejeon, Republic of South Korea. Chris Delcher is with the Institute for Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Kentucky, Lexington."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheolwoo","family":"Park","sequence":"additional","affiliation":[{"name":"Fan Xiong and Jillian Jetson are with the Washington State Department of Health, Tumwater, Washington. Cheolwoo Park is with the Department of Mathematical Sciences, Korea Advanced Institute of Science and Technology, Daejeon, Republic of South Korea. Chris Delcher is with the Institute for Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Kentucky, Lexington."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Delcher","sequence":"additional","affiliation":[{"name":"Fan Xiong and Jillian Jetson are with the Washington State Department of Health, Tumwater, Washington. Cheolwoo Park is with the Department of Mathematical Sciences, Korea Advanced Institute of Science and Technology, Daejeon, Republic of South Korea. Chris Delcher is with the Institute for Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Kentucky, Lexington."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"bib1","unstructured":"National Center for Health Statistics. Vital Statistics Rapid Release\u2014Provisional drug overdose surveillance. January 18, 2023. Available at: https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/provisional-drug-overdose.htm. 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