Senate lawmakers are soon expected to vote on the Modernizing Opioid Treatment Access Act, legislation introduced this year by Republican Sen. Rand Paul, R-Ky., and Sen. Ed Markey, D-Mass.
The bill would allow doctors to prescribe and pharmacies to dispense methadone for people with opioid-use disorder. Currently, methadone is tightly regulated and can only be accessed through certified opioid treatment facilities.
Jordan Scott, digital advocacy coordinator for the Pennsylvania Harm Reduction Network, said the regulations mostly affect people in rural regions who cannot get to methadone clinics or who end up using diverted methadone, which can lead to arrests and time in jail.
"There are some states, like West Virginia, where there's a state law in effect that places a hold on any new opioid treatment programs opening within the state," Scott pointed out. "And when we look at really rural areas, those numbers of how many people able to access methadone goes down even further."
Methadone is a Schedule II drug under the federal Controlled Substances Act. Critics of the bill argue methadone is an opiate which can be abused, and in some cases may be replacing one addictive medication for another, especially if used in isolation, without counseling or as part of a treatment program.
Scott contends the bill would make people less likely to rely on using street-supply substances with a high risk of containing fentanyl, if they know they can obtain methadone safely and locally.
"If my closest clinic is an hour-and-a-half, two hours away, but my primary care doctor is 20 minutes away, this act would allow me to be able to go to my primary care doctor," Scott emphasized.
The Modernizing Opioid Treatment Access Act would also require the federal government to track data nationwide on methadone prescriptions and the number of providers.
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The U.S. Department of Justice has released a report on the state of Georgia's prisons, citing horrific conditions and extreme violence.
The investigation found the state has failed to protect incarcerated individuals, leaving them vulnerable to abuse, neglect and gang violence.
Kristen Clarke, assistant Attorney General for civil rights, said urgent action is needed to help keep people behind bars safe.
"We uncovered long-standing systemic violations stemming from complete indifference and disregard to the safety and security of people Georgia holds in its prisons," Clarke reported.
The Justice Department's report uncovered an unconstitutional risk of sexual violence against LGBTQ+ people. From 2018 to 2023, there were also 142 reported homicides, with a nearly 96% spike in 2021 and 2023.
Ryan Buchanan, U.S. Attorney for the Northern District of Georgia, highlighted the report's findings of widespread mismanagement in Georgia's prisons. He said a lack of supervision has allowed gangs to take control of key prison functions.
"Gang members have co-opted certain administrative functions like bed assignments from the Department of Corrections," Buchanan pointed out. "They have extorted money from the family members of incarcerated people."
The Justice Department is recommending urgent reforms, including increased supervision, better staffing and improvements in how those incarcerated are classified and housed. Officials expressed their commitment to working with state authorities to quickly implement changes.
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Recent problems in South Dakota prisons have concerned lawmakers, corrections commission members and family members of those incarcerated, who formed a new support group.
South Dakotans Impacted by Incarceration was formed this year, after the state's Department of Corrections in March suspended calls and messaging on tablets used by people in prison due to what it called an "investigation." The services were eventually reinstated.
Nieema Thasing, co-founder of the advocacy group, said the department's lack of communication on the issue was one of many reasons she started the group, which hosted its first public meeting last month, attended by some lawmakers, sheriffs and other officials.
"They were all taken aback because they had no idea that these things were happening because they had been getting it from other people trying to soothe everything away."
The South Dakota Corrections Commission also met last month for its first meeting since October 2023 and members expressed concerns about the Commission's role. Member David McGirr said the commission "is not serving its intended purpose," according to meeting minutes, and requested a legislative review of the commission.
Erin Vicars, another of the group's co-founders, said she could "go on and on" about major problems at the state's prisons. Her list includes health care access, lack of in-prison jobs, lockdowns, changes in commissary items, food quality and a lack of transparency from prison leadership.
"People often forget that prison itself is a punishment, not the conditions," Vicars pointed out.
The group is planning another meeting this month. Meanwhile, the state has allocated more than $650 million combined toward a planned men's prison in Lincoln County and a women's correctional facility in Rapid City.
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Today, advocates in North Carolina are kicking off a 136-mile "Walk for Commutation" to raise awareness about those on death row who could soon face execution.
Organized by the North Carolina Coalition for Alternatives to the Death Penalty, the walk is part of a larger push that calls on Gov. Roy Cooper to commute the death sentences before he leaves office.
Noel Nickle, executive director of the North Carolina Coalition for Alternatives to the Death Penalty, stresses the urgency as the state prepares for a change in leadership.
"There's really no denying the racism of the death penalty," Nickle explained. "There's also no denying that death sentences have dramatically decreased. Most people on death row were sentenced more than 20 years ago. People are aging. They are no longer, if they ever were, a threat to our communities. We know that the death penalty doesn't keep us safe."
North Carolina has not executed anyone since 2006, but concerns are growing that the state may follow South Carolina's recent decision to restart executions after a 13-year pause.
Nickle called attention to the racial and geographic disparities in death penalty cases. She explained that 60% of the people on death row are Black despite them making up a smaller share of the state population, and added that being put on death row can sometimes depend on where you live.
"For example, we'll be walking through Chapel Hill and Durham as well where there's no one on death row and where the district attorneys have said -- in fact, they were elected on a platform of not seeking the death penalty," she said.
Nickle added the coalition's goal is to spark a statewide conversation about the death penalty's flaws and the urgent need for reform. The walk will begin outside of the Forsyth County Courthouse and conclude on Oct. 10, which is World Day Against the Death Penalty.
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