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Louisiana Sent a Fifth of Its Opioid Settlement to Sheriffs. The Results Were Predictable.
Louisiana directed a larger share of its opioid settlement to elected sheriffs than any other state — and required nothing in return. Three years of reporting confirm what that decision cost: millions spent on license-plate readers and defibrillators while the people the money was won for keep dying.

Travis Roppolo
7 days ago7 min read


Still Here Doesn't Mean the System Worked
Being alive after addiction doesn't mean the system worked — it often means you got lucky. This National Recovery Month, CANN's Travis Roppolo draws on his own recovery from chemsex and stimulant use to map the gaps in trauma care, behavioral health parity, and stimulant treatment that keep survival a matter of privilege rather than policy.

Travis Roppolo
Sep 148 min read


The Policy Stack: How SAMHSA, the White House, and Louisiana Are Rewriting Drug and Homelessness Response
On April 24, 2026, the Substance Abuse and Mental Health Services Administration (SAMHSA) issued a Dear Colleague letter that withdraws federal funding eligibility from fentanyl test strips, sterile...

Travis Roppolo
May 119 min read


The Great American Recovery Needs More Than a Slogan
Administration expands OUD medication access while defunding SAMHSA and restricting harm reduction.

Travis Roppolo
Feb 86 min read


War-Torn Ukraine Beats U.S. on Integrated Addiction Care
Ukraine's integrated addiction care model outperforms U.S. fragmented approach despite war devastation and resource constraints.

Travis Roppolo
Jul 6, 20257 min read
Alcohol Use Does Not Harm DAA Efficacy, Yet Payer Barriers Persist
Research proves alcohol doesn't reduce DAA efficacy for HCV, yet payers continue restricting treatment.

Travis Roppolo
Oct 8, 20233 min read
Underprepared: Opioid Settlement Dollars are Coming
Opioid settlement funds risk misallocation; MAT gaps for minors and drug court issues identified.

Travis Roppolo
Sep 10, 20236 min read
DEA Appears Open to Tele-Script for Certain Controlled Substances
DEA signals openness to telemedicine prescribing of controlled substances, expanding MAT access.

Jen Laws
Aug 13, 20234 min read
Feds: "Harm Reduction Framework"
SAMHSA releases Harm Reduction Framework for federal substance use programming and community approaches.

Jen Laws
Jul 30, 20233 min read


Opioid Settlements in America
Opioid settlement funds allocation overview: oversight and community impact considerations.

Marcus J. Hopkins
Jul 2, 20234 min read
DEA Proposed Rules Risk Harming Access to Care
DEA proposed rules restrict telemedicine prescribing, harming rural patients and transgender individuals.

Jen Laws
Mar 12, 20235 min read
Xylazine: Advocates, Service Providers on High Alert
Xylazine contamination of drug supply demands harm reduction response including safe consumption sites.

Jen Laws
Jan 22, 20235 min read
Overdose Awareness Day Requires Holistic Interventions
Overdose Awareness Day calls for holistic interventions addressing SUD as a health issue, not criminal one.

Jen Laws
Sep 11, 20223 min read
Despite All Evidence in Support of Harm Reduction, Stigma Drives Public Attitudes
Stigma drives opposition to harm reduction programs like safe consumption sites despite strong evidence.

Jen Laws
Aug 21, 20224 min read
Improving Liver Health for People Who Inject Drugs
Community-based low-barrier HCV treatment for PWID significantly improves liver health outcomes.

Jen Laws
Jul 17, 20223 min read
Addressing the Intersection of HIV and Methamphetamine Use
Conference examines HIV and methamphetamine use intersection among MSM and transgender communities.

Jen Laws
Jun 12, 20223 min read
Community Roundtable Defines the Shape of Public Health Advocacy Amid COVID-19
CANN roundtable examines COVID-19 impacts on public health advocacy, Medicaid expansion, and HIV programs.

Jen Laws
May 22, 20224 min read
DOJ: ADA Protections Offered to People Living with Opioid Use Disorder
DOJ clarifies ADA protections for people with opioid use disorder against discrimination.

Jen Laws
Apr 17, 20223 min read
Treatment Restrictions Hampering Hep C Harm Reduction Efforts
Medicaid sobriety restrictions on HCV treatment contradict harm reduction and elimination goals.

Jen Laws
Mar 27, 20223 min read
Jen's Half Cents: Supporting Patients by Supporting Families and Survivors of Intimate Partner Abuse
Family support predicts treatment success; policy must address intimate partner violence and health outcomes.

Jen Laws
Feb 20, 20225 min read
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