Senators from both sides of the aisle have teamed up to introduce a bill that would tackle the opioid epidemic, while the Department of Justice will jump in on the side of states in a nationwide opioid lawsuit against manufacturers and distributors.

The Hill reports that CARA 2.0, meant as a follow-up bill to the Comprehensive Addiction and Recovery Act (CARA) signed into law in 2016, includes numerous policy changes that include establishing a three-day initial prescribing limit on opioids for acute pain, beefing up services to promote recovery and aiming to increase the availability of treatment.

It also includes increased funding authorizations in the wake of the two-year budget deal passed earlier in the month that includes $6 billion for the opioid and mental health crises. 

Recommended For You

Some of the measures cut from the original CARA bill have similar counterparts to be found in 2.0, in the form of an initiative to increase youth recovery support services and a provision requiring physicians and pharmacists to use their state prescription drug monitoring program before prescribing or dispensing opioids.

In addition, the legislation would allow states to waive the cap on the number of patients a physician can prescribe buprenorphine, which is used to treat opioid addiction, and to increase penalties for opioid manufacturers that do not report suspicious orders.

The bill also contains authorization for $1 billion in additional funding, with approximately $10 million funding a national education campaign on opioids; $300 million to increase training for first responders and their access to an opioid overdose reversal drug; $300 million to expand medication-assisted treatment; and $200 million to help build more recovery support services.

The DOJ, for its part, according to Stat News, says it will increase its investigations of opioid manufacturers and distributors and weigh in on a number of state lawsuits targeting manufacturers including, among others, Purdue, Endo Pharmaceuticals, Insys, Janssen, and Teva. State and local governments are seeking compensation for what many plaintiffs allege are costs arising from marketing tactics used the companies.

Jeff Sessions, attorney general, says in the report that the agency will submit a statement of interest "in a lawsuit against a number of opioid manufacturers and distributors for allegedly using false, deceptive, and unfair marketing of opioid drugs."

The agency has already put in a year of enforcement-side actions, the report says, including crackdowns on fentanyl importation and a broader crackdown on opioid dealer and distribution networks across the country.

NOT FOR REPRINT

© 2025 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

Marlene Satter

Marlene Y. Satter has worked in and written about the financial industry for decades.