California Chiropractic Association Sponsors AB 888 Opioid Legislation

Sacramento, California – The California Chiropractic Association (CalChiro) is pleased to sponsor AB 888, which seeks to reduce the over-reliance on prescription opioids by integrating nonpharmacological treatments to pain management care plans and, most importantly, ensures that patients are making well informed decisions before an opioid is prescribed. AB 888 was introduced by Assembly member and Chair of the Business and Professions Committee Evan Low.

opiod epidemic pills

Over the last 15 years, there has been a dramatic increase in the acceptance and use of prescription opioids for the treatment of chronic, non-cancer pain despite serious risks and a lack of evidence about their long-term effectiveness. The Center for Disease Control and Prevention (CDC) has estimated that between 1999 and 2016, more than 200,000 people died in the United States from overdoses related to prescription drugs. The CDC also found that in 2016, 116 people died every day from opioid related overdoses and 11.5 million misused prescription opioids. Overdose deaths involving prescription opioids were five times higher in 2016 than in 1999.

The sheer magnitude of America’s prescription opioid abuse has evoked visceral responses and calls to action from public and private sectors. Opioid prescribing guidelines, like the CDC’s Guideline for Prescribing Opioids for Chronic Pain, already recommend the exploration of non-opioid therapeutic options or if opioids are prescribed they should be combined with non-opioid therapies. The California Health Care Foundation’s (CHCF) Changing Course: The Role of Health Plans in Curbing the Opioid Epidemic states that alternative treatments to opioids, including chiropractic care, have been found to play an important role in the delivery of cost-effective, non-drug services in both acute and chronic stages, as complementary to traditional treatments. The CHCF study notes that some health plans now authorize non-opioid treatment services for select diagnoses and that the cost of these services is offset by savings in opioid prescriptions.

Nonpharmacological treatments, such as chiropractic care is a proven safe, long-term, solution to pain that reduces or eliminates the need for opioids and reduces surgical interventions. The Department of Veteran Affairs (VA) has been implementing specific nonpharmacologic therapies recommended by several clinical guidelines. As noted in Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care, a key set of the recommended therapies–spinal manipulation, massage, acupuncture, exercise, and patient education–are the core components of multimodal chiropractic care in the VA. From 2012 to 2016, the number of veterans receiving an opioid for any reason decreased approximately 25%, and one component of the VA’s approach has been expanding access to nonpharmacological pain therapies.

“As the opioid crisis continues to wreak havoc in California families, CalChiro has moved to sponsor legislation requiring nonpharmacological avenues be considered before writing that first, often critical prescription,” states Danny Gambino DC, President of the California Chiropractic Association. “We have always aimed to alleviate pain and suffering without deadly, addictive medications. In fact, studies have shown a 55% reduction in opioid prescriptions if a doctor of chiropractic is sought out first.”

As trained medical professionals and longtime advocates of nonpharmacologic pain management, we strongly support AB 888’s mission to increase interdisciplinary approaches to the opioid crisis that will facilitate practices that will not only improve health outcomes but also decrease over-reliance on opioids. In order to adequately address the opioid crisis in California we must look at evidenced based treatment options, like non-pharmacological providers, as well as other mechanisms designed to stop opioid addiction in the first place. CalChiro believes this bill will allow multidisciplinary teams to begin working together to find pain management options that will bend the curve on opioid addiction.

William Updyke, DC, California Chiropractic Association Past President adds, “AB 888 will require any initial opioid prescription include a full informed consent to provide a much needed level of transparency. Patients deserve to be educated about the dangers of opioids prior to filling a prescription.”

Visit the CalChiro page for more information on AB 888.

About California Chiropractic Association

Established in 1928, CalChiro is a not-for-profit organization supporting thousands of doctors of chiropractic and students across California. Visit; call 916.648.2727.