President Joe Biden signs H.R. 1667, the Dr. Lorna Breen Health Care Provider Protection Act, Friday, March 18, 2022, in the Oval Office of the White House. Official White House Photo by Adam Schultz.
President Joe Biden signs H.R. 1667, the Dr. Lorna Breen Health Care Provider Protection Act, Friday, March 18, 2022, in the Oval Office of the White House, with ONDCP Director Dr. Rahul Gupta in attendance.

ONDCP leads and coordinates the nation’s drug policy so that it improves the health and lives of the American people.

Mission

ONDCP is responsible for the development and implementation of the National Drug Control Strategy and Budget. ONDCP coordinates across 19 federal agencies and oversees a $43 billion budget as part of a whole-of-government approach to addressing addiction and the overdose epidemic. ONDCP also provides hundreds of millions of dollars to help communities stay healthy and safe through the High Intensity Drug Trafficking Areas Program and the Drug-Free Communities program.

Priorities

The overdose crisis is an urgent priority for the Biden-Harris Administration. ONDCP works together with federal agencies, Congress, and communities across the country to reduce overdoses and save lives. The Administration’s inaugural National Drug Control Strategy outlines four near-term actions to prevent drug overdoses and poisonings:  

  1. Expand access to naloxone, the opioid overdose reversal medication
  2. Increase access to substance use treatment
  3. Disrupt drug trafficking operations
  4. Improve collection of timely and consistent drug policy data
RECOVERY-READY WORKPLACE COMMITMENT

Substance use disorder (SUD) in the workforce is common and costly.  In 2023, more than 30 million American adults with SUD were employed. Of these individuals, nearly 80 percent worked full-time. SUD in the workforce results in reduced productivity, increased absenteeism and presenteeism, and higher healthcare costs. The Centers for Disease Control and Prevention estimated that opioid use disorder and opioid overdose alone cost the United States economy $1.02 trillion in 2017.

Recognizing the impact SUD has on employees, their families and communities, and the workplace and economy, and noting the unique contributions of workers who are in recovery, the Office of National Drug Control Policy (ONDCP) has called for employers nationally to adopt recovery-ready workplace (RRW) policies and has encouraged states to consider initiating statewide RRW programs. To support such efforts, ONDCP has led the development of the Recovery-Ready Workplace Resource Hub, the Recovery-Ready Workplace Toolkit, and the Recovery-Ready Workplaces Model State Act.

As it is ONDCP’s charge to develop and coordinate national drug policies, it is imperative that the Office lead by example, implementing the policies it champions. Therefore, ONDCP is piloting RRW policies, while continuing to collaborate with federal partners to develop a sustainable RRW certification process for Federal Executive Branch Agencies. As a RRW, ONDCP:

  • Recognizes that SUD is a medical condition and not a moral failing and works to reflect this understanding in its policies and practices as permitted under governing laws and regulations;
  • Works systematically to promote SUD and recovery literacy and to reduce SUD stigma at all levels of the organization, including through the adoption of neutral, science-based language and person-first framing in relation to substance use and related topics;
  • Ensures that all levels of staff are aware of agency substance use policies, related benefits, and resources;
  • Has adopted a safe harbor provision under its Drug-Free Workplace Program, such that employees seeking help for drug use problems may be protected from disciplinary action;
  • Seeks to hire people who are in recovery from alcohol and other SUDs, including through the use of Schedule A authorities;
  • Works to prevent substance misuse in the workforce, including by taking steps to mitigate injury risk and excessive work-related stress;
  • Trains employees in the identification of likely opioid overdoses, the administration of medications to reverse opioid overdose like naloxone, and the broader protocols for responding to potential overdoses;
  • Makes naloxone readily available in the workplace in locations that are denoted by clearly visible signage and are accessible to all employees; and,
  • Strives to create a culture that celebrates recovery and is welcoming of employees in recovery.

As a RRW, ONDCP shares this statement with all employees, includes it in new employee orientation materials, and shares it publicly on our website.  

Director Rahul Gupta, MD, MPH, MBA, FACP

Dr. Rahul Gupta is the first medical doctor to serve as the Director of National Drug Control Policy and lead the Office of National Drug Control Policy (ONDCP), a component of the Executive Office of the President. ONDCP coordinates the nation’s $43 billion drug budget and federal policies, including prevention, harm reduction, treatment, recovery support, and supply reduction.

Through his work as a physician, a state and local leader, an educator, and a senior leader of a national nonprofit organization, Dr. Gupta has dedicated his career to improving public health and public safety.

A board-certified internist, Dr. Gupta has been a practicing primary care physician for more than 25 years, and has served in private practice and public health in towns as small as 1,900 residents and cities as large as 25 million. He has served as a local public health official and as the West Virginia Health Commissioner under two governors, where he brought together public health, law enforcement, healthcare, faith-based, business, and other community partners to solve local problems in novel and innovative ways. As the state’s Chief Health Officer, he led the opioid crisis response and launched a number of pioneering public health initiatives, including the Neonatal Abstinence Syndrome Birthscore program to identify high-risk infants, and the groundbreaking statewide Social Autopsy, which examined the lives of overdose victims to determine the factors that led to their deaths and what services could have prevented their deaths. This led the state to expand access to naloxone as well as treatment services including those for incarcerated individuals in order to save lives and help people transition back into society. He supported the expansion of harm reduction programs to more than a dozen sites across the state. He was also instrumental in expanding state-of the-art, comprehensive and integrative medical and behavioral health programs for pregnant and postpartum women.

His lifelong commitment to educating the next generation of physicians and policymakers has led him to hold academic appointments throughout his career including as a clinical professor in the Department of Medicine at Georgetown University School of Medicine and as visiting faculty at the Harvard University T.H. Chan School of Public Health. Additionally, his passion for global health led him to join the March of Dimes as Chief Medical and Health Officer and Senior Vice President, where he provided strategic oversight for the organization’s domestic and global medical and public health efforts.

Dr. Gupta is a national and global thought leader and a driver of innovative public policies who practices what he preaches. He is a buprenorphine-waivered practitioner, providing medication-assisted treatment for people with opioid use disorder. He has been recognized for his career of public service by the American Medical Association, the American Public Health Association, and by Governing Magazine, which named him their Public Health Official of the Year in 2018. Additionally, the Pulitzer Prize-winning Charleston Gazette-Mail named him as one of its West Virginians of the Year in 2017 for his service to the state.

The son of an Indian diplomat, Rahul was born in India and grew up in the suburbs of Washington, D.C. At age 21, he completed medical school at the University of Delhi followed by subspecialty training in pulmonary medicine. He earned a master’s degree in public health from the University of Alabama-Birmingham and a global master’s of business administration degree from the London School of Business and Finance. He is married to Dr. Seema Gupta, a physician in the Veterans Administration for over a decade. They are the proud parents of identical twin sons, Arka and Drew.

Deputy Director of ONDCP Adam Cohen

Deputy Director Adam W. Cohen

Adam W. Cohen is the Deputy Director of the White House Office of National Drug Control Policy, the agency that coordinates the nation’s $43 billion drug budget and federal policies, including prevention, harm reduction, treatment, recovery support, and supply reduction. Cohen is a career prosecutor who brings more than three decades of experience to the White House.

Much of his career has focused on bringing together state, local, and federal law enforcement to coordinate efforts to keep communities and the nation safe from criminal actors, including violent gangs, sophisticated transnational organized crime networks, and international drug cartels trafficking cocaine, methamphetamine, and fentanyl into the United States. 

Deputy Director Cohen most recently served as the Director of the Executive Office for the Organized Crime Drug Enforcement Task Forces (OCDETF) at the U.S. Department of Justice (DOJ), under appointment from the U.S. Attorney General. OCDETF is the largest law enforcement task force in the nation with 560 federal prosecutors, 1,400 federal agents, 19 Strike Forces, and 4,000 state and local police officers from over 1,000 departments working on over 5,000 complex multi-agency criminal investigations targeting command and control elements of high priority transnational criminal organizations. He previously served as a Senior Policy Advisor at ONDCP in 2016, where he was the senior DOJ representative on a team charged with developing interagency national synchronization strategies to combat the synthetic opioid crisis.

Deputy Director Cohen began his career as a prosecutor in Miami, Florida under then-State Attorney Janet Reno and joined the Department of Justice in 1998 as an Assistant United States Attorney (AUSA). He also served in DOJ divisions targeting narcotics and dangerous drugs, lead efforts to hold gangs accountable, including serving as Co-Chair of the Deputy Attorney General’s National Gang Intelligence and Coordination Governing Board, and managed the Federal Witness Security program. At DOJ, he served under both Democrats and Republicans, including nine attorneys general and five U.S. presidents. 

Cohen’s father, a pediatrician who treated underserved children and teens in the Bronx, inspired Cohen to dedicate his career to serving his community.  A native of New York and graduate of Clark University and the Benjamin N. Cardozo School of Law, Deputy Director Cohen lives in Northern Virginia with his wife, Kay. They have two adult sons.

The Office of National Drug Control Policy was created by the Anti-Drug Abuse Act of 1988 which authorized ONDCP to set drug policy priorities, implement a comprehensive and research-based national strategy, and certify Federal drug policy budgets.

The Violent Crime Control and Law Enforcement Act of 1994 expanded ONDCP’s mission to include assessing budgets and resources related to the National Drug Control Strategy.

Executive Orders 12880 (1993)12992 (1996), and 13023 (1996) tasked ONDCP with the responsibility to lead the United States’ drug policy and reiterated that ONDCP’s Director is the Executive Branch’s senior drug policy official.

The Drug Free Communities Act of 1997 authorized ONDCP to carry out a national initiative that awards Federal grants directly to community coalitions.

The Media Campaign Act of 1998 directed ONDCP to conduct a national media campaign for the purpose of reducing and preventing drug use among young people in the United States.

The Office of National Drug Control Policy Reauthorization Act of 1998 expanded ONDCP’s mandate and authority, including:

  • Development of a long-term national strategy
  • Implementation of a robust performance-measurement system
  • Commitment to a five-year national program budget
  • Permanent authority for the High Intensity Drug Trafficking Areas grant program
  • Increased reporting to Congress on drug policy activities
  • Reorganization of ONDCP to allow more effective national leadership
  • Improved coordination among national drug program agencies

Executive Order 13165 (2000) created the White House Task Force on Drug Use in Sports. It authorized the Director of ONDCP to serve as the U.S. Government’s representative on the board of the World Anti-Doping Agency.

The ONDCP Reauthorization Act of 2006 reauthorized ONDCP through FY 2010 and expanded the mandate of the Agency, including:

  • Statutorily creating the position of the U.S. Interdiction Coordinator (USIC) and the Interdiction Committee (TIC) within ONDCP
  • Adding faith-based organizations and tribal officials to the National Drug Control Strategy consultation list
  • Establishing a HIDTA designation petition process

The SUPPORT for Patients and Communities Act of 2018 reauthorized ONDCP through FY 2023, expanded ONDCP’s mandate, and made other changes, including:

  • Reauthorizing the High Intensity Drug Trafficking Areas and the Drug Free Communities grant programs at ONDCP
  • Creating an Emerging Threats Committee tasked with proactively identifying and preparing for the next drug crises
  • Allowing a portion of HIDTA funds to be used for prevention and treatment
  • Creating an online Drug Control Data Dashboard with search functions
  • Creating a Grant Tracking System to better track and improve federal drug grants
  • Creating a cadre of coordinators at ONDCP to lead efforts on key drug issues

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