Beto O’Rourke on Hepatitis C Treatment Access

While visiting the Iowa Harm Reduction Coalition, O'Rourke expressed support for policies and programs that provide people with access to hepatitis C treatment without requirement for sobriety or advance-stage disease.

O’Rourke did not provide comment on Hepatitis C treatment when asked directly about it by HIV+ Magazine, Sept 9, 2019.

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Beto O’Rourke Explains His Positions on HIV
HIV+ Magazine | September 9 2019 | Jacob Anderson-Minshall

Watch: Beto talks HIV at the Iowa Harm Reduction Coalition
October 24, 2019

Beto’s Plan to Address Substance Use Disorders and the Opioid Epidemic
Medium | October 24, 2019 | Beto O’Rourke

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Beto O’Rourke on Drug Decriminalization

O’Rourke is a long-time advocate of ending federal prohibition on marijuana. In his 2018 Senate race against Ted Cruz, O’Rourke was endorsed by the National Organization for the Reform of Marijuana Laws.

O'Rourke authored the book, Dealing Death and Drugs: The Big Business of Dope in the U.S. and Mexico: An Argument for Ending the Prohibition of Marijuana. in 2011.

O'Rourke proposes federal legalization of marijuana, creation of a regulated market, and taxing the marijuana industry to fund a monthly stipend to repay people who served prison time on nonviolent marijuana charges. His goal is to see those who were harmed by the strict “war on drugs” policies of the past now benefiting from money made in the marijuana business. This is the first plan to suggest direct payments to people who have been imprisoned on cannabis charges.

O'Rourke voiced support for the decriminalization of all drugs while discussing his plans to address the opioid overdose crisis on October 24, 2019, but did not name specific narcotics which he believed should be subject to alternative regulatory models than the status quo. O’Rourke calls heroin and meth, “a tougher set of issues,” and notes that trafficking and selling of these substances should remain under the purview of the justice system.

O'Rourke joins Sens. Cory Booker (N.J.) and Kamala D. Harris (Calif.) in calling for those convicted of marijuana possession to have their criminal records expunged.

O'Rourke sponsored a resolution as an El Paso city councilor in 2009, which called on Congress to have an "honest, open national debate on ending the prohibition” of marijuana."

O’Rourke’s plan would no longer allow marijuana charges to be considered grounds for denying citizenship or deporting immigrants.

O’Rourke also supports increased efforts to target the supply chain of fentanyl entering the U.S., intending to focus increased efforts on preventing the spread of the drug into the U.S. via the postal service and the DEA. O’Rourke says he will tighten government regulation and oversight of pharmaceutical companies and expand the Drug Enforcement Administration’s ability to hold drug distributors accountable for suspicious shipments. His plan would also look to curb the flow of illicit fentanyl into the U.S. by requiring China to increase its monitoring of the substance as a condition for trade negotiations and bilateral discussions.

“These are not criminal justice issues that warrant punishment. Beto understands that these are chronic brain diseases with the potential for both recovery and relapse.”

“We need to decriminalize the possession and use of drugs in this country. It is fundamental that we no longer pursue this as a criminal justice problem.”

“The focus on the war on drugs going on 50 years in this country not only has deprived other federal agencies and departments… it’s also militarized our communities” and thus solutions must shift funding away from the Drug Enforcement Administration.

“We need to not only end the prohibition on marijuana, but also repair the damage done to the communities of color disproportionately locked up in our criminal justice system or locked out of opportunity because of the War on Drugs,” ​O’Rourke said in a press release.​ “These inequalities have compounded for decades, as predominantly white communities have been given the vast majority of lucrative business opportunities, while communities of color still face over-policing and criminalization. It’s our responsibility to begin to remedy the injustices of the past and help the people and communities most impacted by this misguided war.”
O’Rourke Unveils a Plan to Legalize Marijuana, End War on Drugs
The Hill, September 19 2019
Chris Mills Rodrigo

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Beto O’Rourke on Criminal Justice Reform

O'Rourke proposes to end prohibition of marijuana and expunge arrest records of those incarcerated for possessing it, end cash bail, end mandatory minimum sentences for non-violent offenses, eliminate private and for-profit prisons, ensure the formerly incarcerated have a path to reenter our communities.

O'Rourke proposes to reduce all felony drug possession convictions to misdemeanors and apply this retroactively to those who have already suffered unjustly. These actions will save lives now needlessly lost to incarceration, and billions of dollars that can be reinvested into rehabilitative alternatives.

O'Rourke calls for abolishing private and for-profit prisons, ending the war on drugs, ending mandatory minimum sentences for nonviolent drug offenses, reforming the bail process, and providing meaningful reentry to reduce recidivism – rehab services, counseling, banning the box on job applications, and returning the vote.

“We need to not only end the prohibition on marijuana, but also repair the damage done to the communities of color disproportionately locked up in our criminal justice system or locked out of opportunity because of the War on Drugs,” ​O’Rourke said in a press release.​ “These inequalities have compounded for decades, as predominantly white communities have been given the vast majority of lucrative business opportunities, while communities of color still face over-policing and criminalization. It’s our responsibility to begin to remedy the injustices of the past and help the people and communities most impacted by this misguided war.”
O’Rourke Unveils a Plan to Legalize Marijuana, End War on Drugs
The Hill | September 19 2019 | Chris Mills Rodrigo

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Beto O’Rourke is Running for President in 2020
Business Insider | Sept 13 2019 | Joe Perticone and Joseph Zeballos-Roig

Texas Should Lead the Way on True Criminal Justice Reform [Opinion]
Houston Chronicle | August 27, 2018 | Beto O’Rourke

Beto O’Rourke campaign website

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Beto O’Rourke on Overdose Prevention Sites

O’Rourke has publicly supported the creation of overdose prevention sites, also known as safe consumption spaces. He has stated that he would allow communities to establish such programs. His proposed strategy to address the opioid crisis includes specific support for the systematic implementation of overdose prevention sites.

When voicing support for safe consumption spaces: “People who use drugs are human beings and deserve to be treated with respect.”

Regarding safe consumption spaces: “I want this to be a human and humane policy. I want it to be informed, guided and driven by the very people who are working on this, working through substance abuse challenges.”

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Beto O’Rourke on HIV Getting to Zero

O'Rourke promises to ensure that health insurance and health care includes access to HIV prevention and treatment by fully enforcing the nondiscrimination protections in the ACA and by including protections in any new system of universal health insurance.

O'Rourke advocates ensuring that people in prison can get HIV treatment.

O'Rourke advocates for “Medicare for America” plan

O'Rourke Promises to stop price gouging by drug companies so that treatments like PreP are accessible.

O'Rourke will continue to support federal research funding, and the Ryan White HIV/AIDS Program and similar programs extending care to underserved populations.

Read the positions and proposals of this candidate for other issuesLearn more about this issue

Beto O’Rourke on Voting Rights Restoration

O'Rourke supports voting rights for people behind bars for non-violent offenses, saying that doing so will help mend racial disparities in voter turnout.

“When you look at the population in prisons today, it is disproportionately comprised of people of color; far too many there for nonviolent drug crimes. I want to make sure that time spent behind bars does not entail a stripping of your civic and constitutional rights. I would think especially for nonviolent offenders that we rethink removing the right to vote, and allow everyone, or as many as possible, to participate in our democracy.”
O’Rourke Says He Supports Voting Rights for Nonviolent Felons.
The Hill, April 24, 2019 | Tal Axelrod

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Which 2020 candidates think incarcerated felons should be able to vote?
CBS News, June 14 2019 | Alexandra Chaidez

O’Rourke Says He Supports Voting Rights for Nonviolent Felons.
The Hill, April 24, 2019 | Tal Axelrod

2020 Democrats Confronting Debate Over Letting Felons Vote
AP News, April 24, 2019 | Nicholas Riccardi

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Beto O’Rourke on Substance Use Treatment Access

O'Rourke is supportive of the use of tying reimbursement for health care services (on the provider side) to the use of clinical guidelines, thus tying accountability into treatment services delivered with people seeking care for substance use disorders. This means that addiction treatment programs would be held to the same standard as other health care agencies in being required to provide evidence-based care.

O'Rourke believes health care is a fundamental right, and recognizes that the federal government must play its part in offering healthcare to those who need it. Prioritizes enforcement of the federal parity law. Will work with Congress to enact Medicare for America as a means to ensure that every American can get the care they need, including mental health services or treatment for addiction. Medicare for America would fully cover mental health services and eliminate out of pocket costs for those with serious mental illnesses.

O'Rourke would allow individuals to complete a program through their treatment regimen and have their charges dismissed. This not only costs substantially less than prison, but leads to significantly greater health and behavioral outcomes.

O'Rourke states that he would use the authority of the Federal Trade Commission (FTC) and Center for Medicare / Medicaid Services (CMS) to shut down treatment centers that deceive or overbill patients, or use illegal lead generation practices.

O'Rourke says he believes in expanding access to buprenorphine and holding pharmaceutical executives accountable for knowingly and deliberately pushing for highly addictive opioid medications to be over-prescribed.

O'Rourke says that mental health and substance use disorders must be treated as a public health opportunity rather than a criminal justice concern, and that for far too many, mental health care and substance abuse treatment does not begin until after one interacts with the criminal justice system. He wants to shift the point of care by providing for pre-trial intervention for simple drug possession through community-based treatments that lead individuals toward rehabilitation.

O'Rourke also believes that regulation is needed to crack down on “product hopping,” which allows pharmaceutical companies to make minor changes to a drug (switching from a capsule formulation to a tablet) in order to generate a new period of exclusivity and then heavily promote it to convince physicians to switch to the more expensive drug without generic competition. He states that the would task the FTC with cracking down on this practice, in order to keep the price of medications like buprenorphine and methadone affordable for patients.

Beto wants to “Ensure access to treatment to enable long-term recovery, providing access to medication-based recovery and supporting at risk populations, including rural Americans, veterans, Native Americans, and incarcerated individuals.”

Beto “will enact Medicare for America, which will ensure universal, guaranteed, high-quality health care that includes mental health care. This will eliminate barriers to medication-assisted recovery, including coverage by insurance of FDA-approved maintenance medications, also referred to as medication-assisted recovery, including buprenorphine, methadone and Suboxone. He would also allow clinicians to prescribe buprenorphine without having to undergo an invasive process. Clinicians are currently required to undergo training, receive an additional license, and submit patient records to the DEA.”

“Improve the quality and reduce the cost of treatment by tackling abusive practices of the substance use disorder treatment industry. There is currently no entity within the federal government regulating facilities that oversee treatment for substance use disorder, and much of the U.S. substance use disorder treatment industry does not provide evidence-based, effective care consistent with long-term recovery. The Centers for Medicare and Medicaid Services (CMS) has over 4,000 quality measures, but there are zero for substance use and opioid use disorder programs.”

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Beto O’Rourke on Syringe Access

O'Rourke supports removing the federal funding ban that prohibits the use of federal dollars to purchase hypodermic needles or syringes for distribution in a syringe service program.

O'Rourke visited a harm reduction program in Iowa, and while learning about safe injection practices, remarked that syringe access programs not only are compassionate and humane, but offer a tremendous opportunity for saving health care dollars, due to the prevention of infectious disease.

O'Rourke's plan to address the opioid epidemic includes the allocation of $100 billion dollars, with harm reduction programs specifically named as a key beneficiary of this funding.

In order to “Ensure Access to Health Care and Interventions that Promote Long-Term Recovery, …” Beto supports, “Creating needle exchanges and supervised consumption sites where people can consume drugs they have obtained elsewhere in a controlled setting, under the supervision of trained staff, and with access to sterile injecting equipment.”
Beto’s Plan to Address Substance Use Disorders and the Opioid Epidemic
Medium, October 24, 2019 | Beto O’Rourke

Beto will also, “Implement innovative models for health care and interventions related to substance use disorder such as that used in Portugal, particularly mobile vans that travel to areas of high consumption to distribute medicines or needle exchanges, where individuals caught with drugs are sent to treatment instead of jail.”

Beto’s Plan to Address Substance Use Disorders and the Opioid Epidemic
Medium, October 24, 2019 | Beto O’Rourke

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Beto O’Rourke on Naloxone Access

O'Rourke supports the expansion of access to naloxone by creating funding opportunities in development with people who have lived experience.

O'Rourke believes that naloxone should be accessible to first responders, law enforcement, and public spaces. He cites the Denver Public Library System, which saved 14 lives in 2017 because narcan was readily available and public employees had been trained on administration.

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