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Comprehensive Addiction and Recovery Act (CARA)

2016

Pub. L. 114–198

📌 Link to the Text of the Act

Read the statute (Public Law 114–198)

📌 Why It Was Done

CARA was enacted to combat the opioid epidemic by authorizing a comprehensive response including prevention, treatment, recovery, law enforcement, and criminal justice reform.

📌 Pre-existing Law or Constitutional Rights

The Controlled Substances Act (1970) and later drug laws focused on enforcement. CARA shifted federal policy toward integrating treatment and recovery support into the response.

📌 Overreach or Proper Role?

Supporters say it was a long-overdue public health response. Critics argue it lacked adequate funding and left enforcement-heavy drug policies intact.

📌 Who or What It Controls

  • Federal agencies (coordinate addiction and recovery programs)
  • State and local governments (receive grants for prevention/treatment initiatives)
  • Healthcare providers and nonprofits (funding for medication-assisted treatment, naloxone distribution, recovery housing)

📌 Key Sections / Citations

  • Expanded access to naloxone (opioid overdose reversal)
  • Authorized grants for medication-assisted treatment (MAT)
  • Strengthened prescription drug monitoring programs (PDMPs)
  • Enhanced treatment alternatives to incarceration

📌 Recent Changes or Live Controversies

  • Reauthorized and expanded in SUPPORT for Patients and Communities Act (2018)
  • Ongoing debates about adequacy of funding
  • Remains central to U.S. response to the opioid crisis, alongside state-level initiatives

📌 Official Sources