Right now in Ohio 200,000 people are getting opioid treatment because they have insurance under the Affordable Care Act.
The Affordable Care Act is helping people in Ohio get the treatment they need for opioid addiction, said U.S. Sen. Sherrod Brown, D-Ohio. "Right now in Ohio 200,000 people are getting opioid treatment because they have insurance under the Affordable Care Act," he said in an April 9 speech to the City Club of Cleveland. This is a common talking point by Brown, who will face the winner of the May 8 Republican primary that features U.S. Rep. Jim Renacci and businessman Mike Gibbons, among other candidates. Ohio is one of the states that expanded Medicaid as part of the 2010 federal health care law, and is one of the hardest hit states in the nation by the opioid epidemic. Experts have said that the program for the poor has helped treat those with opioid addiction. Brown was citing a valid study about the Affordable Care Act, but he didn’t precisely explain what the researchers found. We learned it is difficult to pinpoint how many have gotten this type of treatment as a result of the law. Affordable Care Act and opioid treatment Brown cited research by Harvard Medical School. The research, conducted by health economics professor Richard Frank and New York University Dean Sherry Glied, was released in January 2017 when Republicans were vowing to repeal the Affordable Care Act, though that didn’t happen. "Repealing the ACA — and its behavioral health provisions — would have stark effects on those with behavioral health illnesses," the researchers concluded. Nationwide, the researchers estimated that approximately 1.25 million people with serious mental disorders and about 2.8 million Americans with a substance use disorder, of whom about 222,000 have an opioid disorder, would lose some or all of their insurance coverage if the federal health care law was repealed. In Ohio, the researchers found that 220,512 people with addiction or mental health disorders had coverage under the Affordable Care Act in 2016. (Brown said "right now," but this data is two years old.) About 151,200 obtained coverage through the Medicaid expansion and 69,225 obtained plans through the marketplace. While Brown specifically said that 200,000 were getting opioid treatment, the research was more broad, because it addresses addiction and mental health disorders in general. Sometimes Brown has more precisely explained that 200,000 figure, including in a press statement when the study was released. But at other times, he has said that 200,000 Ohioans were getting opioid treatment through the Affordable Care Act. One of the researchers confirmed for PolitiFact that the 220,000 figure referred to significant behavioral health or substance use disorder needs. "The data we had analyzed do not indicate how many in this group used substance use treatment services," said Glied of NYU. It’s clear that more broadly, Medicaid expansion has helped Ohioans seek drug treatment. Glied said that about half of all medication-assisted treatment for substance abuse treatment in Ohio is paid by Medicaid. Brown’s office spokeswoman, Jennifer Donahue, pointed to news reports showing that 500,000 low-income Ohio adults received mental health and addiction services under the state’s Medicaid expansion, including many for drug addiction. Donahue also cited news reports showing Republican Gov. John Kasich credited the Medicaid expansion for helping treat opioid addicts. Other health care experts, including the Kaiser Family Foundation, have expressed similar views that the Affordable Care Act will play a key role in tackling the opioid epidemic. Spokespersons for state departments of health, addiction services and Medicaid told us they didn’t have any data showing how many Ohioans had received opioid treatment as a result of the Affordable Care Act. However, between the time Ohio expanded Medicaid in 2014 through August 2017, more than 633,000 Ohioans with behavioral health needs had accessed services, including addiction treatment and mental health, through expanded Medicaid coverage. But we don’t know how many in this group received opioid treatment. The state data suggests that those receiving services may be even higher than the Harvard study, which was based on 2016 data, if we include additional years. Our ruling Brown said, "Right now in Ohio 200,000 people are getting opioid treatment because they have insurance under the Affordable Care Act." Harvard and New York University researchers concluded that about 220,000 people with addiction or mental health disorders had coverage through the Affordable Care Act, either through Medicaid expansion or purchasing insurance on the exchange, in 2016. But Brown oversimplified the study. The statistic is more broad than those who have received treatment for opioid addiction. Other state data suggest the number could be higher than 220,000, if we include multiple years. Brown’s general point that the Affordable Care Act has benefited people who need opioid treatment is supported by experts. We rate this claim Mostly True. See Figure 1 on PolitiFact.com
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