Committee reviews statute governing medication for opioid use disorder in correctional facilities

The Restrictions Committee on Jan. 23 reviewed the statutory framework that governs medication for opioid use disorder (MOUD) inside Vermont correctional facilities and how the Department of Corrections (DOC) and contractors must coordinate with community providers at reentry.

The session focused on Title 28, Chapter 11 provisions addressing medical care of inmates and a companion section that specifically cross-references Title 18’s definition of medication for opioid use disorder. Committee members and Department of Health staff emphasized that MOUD in correctional settings must align with community standards, be medically necessary, and be paired with counseling and behavioral therapies.

Katie McGlynn, Office of Legislative Counsel, walked the committee through the statute. She highlighted the opening requirement that DOC provide “health care for inmates in accordance with prevailing medical standards,” and explained screening and assessment steps: an inmate admitted for 14 consecutive days must receive a physical assessment and must be screened for substance use disorder, including opioids, within 24 hours of admission. McGlynn said the statute authorizes continuation of medications that an inmate is taking pursuant to a valid prescription, “including buprenorphine, methadone, or other MOUD medication,” pending evaluation by a licensed clinician.

Tony Fallon, clinical services manager, Department of Health Division of Substance Use, described operational details and the state’s…