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Revised Regulations for Opioid Treatment Programs: Establishing a Baseline to Measure Progress Over Time

Revised Regulations for Opioid Treatment Programs: Establishing a Baseline to Measure Progress Over Time

This report examines the extent to which OTPs adopted key changes in the revised regulations and explores key barriers and facilitators to implementation.

In February 2024, the Department of Health and Human Services and the Substance Abuse and Mental Health Services Administration published the first significant revision in more than 20 years to 42 CFR part 8, the regulations that guide opioid treatment programs (OTPs). The changes promote greater retention in care by reducing barriers to receiving evidence-based medications for opioid use disorder (MOUD) and promoting practitioner’s professional judgment in meeting the needs of individual patients with patient-centered approaches to care.

Publication Date: May 2026