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One of the barriers to addiction and substance abuse prevention and treatment services is the current lack of reimbursement from health insurance providers. Insurance providers—public and private—should provide coverage for the insured. This should include patient education, screening and intervention for substance use and treatment and management of addiction consistent with standards of medical practice, eliminating exemptions. The National Center on Addiction and Substance Abuse will document the benefits (financial viability, return on investment, improved patient outcomes) of providing full coverage of evidence-based addiction prevention and treatment and develop a strategy to encourage the insurance industry to cover these critical services for addiction and substance abuse prevention and treatment.