Policy Advocacy for Addiction Treatment Reform

The Evidence Demands Better. So Do We.

Recovery Outcomes Alliance unites policymakers, healthcare providers, and advocates to replace ineffective addiction treatment models with approaches that actually work.

Key Issues

Where the System Is Failing

10%of people with addiction receive any treatment

The Treatment Access Gap

Despite addiction affecting over 46 million Americans, the vast majority never access care. Systemic barriers — from insurance exclusions to geographic deserts — keep evidence-based treatment out of reach.

40–60%relapse rate under current standard-of-care models

Outdated Treatment Protocols

Dominant treatment models were designed decades ago and have not kept pace with the science. Abstinence-only and 12-step mandates persist in publicly funded programs despite evidence for more effective alternatives.

$35Bspent annually on treatment with poor outcome accountability

No Accountability for Outcomes

Public and private dollars flow into treatment programs with no standardized outcome reporting. Without data, policymakers cannot distinguish effective programs from ineffective ones — and funding follows neither.

White Paper

From Volume to Value: Reforming Addiction Treatment Payment Structure

Payment structures now reward volume, engagement, and readmission more reliably than sustained recovery. This white paper presents a practical framework for realigning incentives toward verified outcomes — and the policy tools to get there.

Recovery Outcomes Alliance, LLC

Evidence. Accountability. Recovery.

Read the Full White Paper →

By the Numbers

The Scale of the Crisis

46MAmericans living with a substance use disorder
10%receive any form of treatment
$1T+annual economic cost of untreated addiction
107Koverdose deaths in the most recent reporting year

How We Drive Change

Three Levers of Reform

Research & Evidence

We commission, synthesize, and publish rigorous research on treatment outcomes, policy effectiveness, and systemic barriers. Our briefs are designed for legislative staff, agency officials, and clinical leaders who need credible, actionable evidence.

Legislative Advocacy

Our team works directly with congressional offices, state legislatures, and regulatory agencies to advance policy reforms. We draft model legislation, provide expert testimony, and build the political will for evidence-based change.

Stakeholder Coalition

Lasting reform requires alignment across sectors. We convene healthcare systems, payer organizations, treatment providers, and people with lived experience to build the broad coalition that policy change demands.

Voices for Reform

We have decades of evidence showing what works in addiction treatment. The gap is not scientific — it is political. Closing that gap requires exactly the kind of sustained, credible advocacy that Recovery Outcomes Alliance provides.
Dr. Sarah WakefieldProfessor of Addiction Medicine, Johns Hopkins School of Public Health
Policymakers want to act on addiction — they need organizations that can translate the science into legislation. ROA does that work with rigor and without partisan agenda.
Former State Senator James CallowayHealth & Human Services Committee, Ret.

Support the Work

Your Support Moves Policy

Systemic change requires sustained investment. Your contribution funds the research, advocacy, and coalition work that turns evidence into legislation — and legislation into better outcomes for millions of Americans.

Stakeholder contributions fund research, testimony, and coalition operations. Every dollar advances the case for evidence-based reform.

Support Our Work

Recovery Outcomes Alliance, LLC — not a 501(c)(3)