You have a third leg in the movement which is a judicial like. Youre talking about the dreamers, on the latino side, the black lives matter movement. You have a Racial Justice third wing of the party with no candidate no voice and no pretense to mask all of that and they exploded into public view. Coming up sunday evening at 630, the the Republican Jewish Coalition on reform featuring republican president ial candidates. For the full we can line up go to our website, cspan. Org. National drug control policy director Michael Botticelli testified before the House Oversight and Government Reform Committee urging congress to reauthorize the programs. We also hear hear from the High Intensity Drug Trafficking Area Program and the government office. This is is about two hours and 15 minutes. We will come to order, without objection the chair is authorized to declare recess at any time. The the office of natural drug control policy is charged with guiding the big picture strategy for addressing illicit drug problems in this country and the consequences thereof. I think we can all agree this is a problem that merits meaningful solutions. Over the years we as a nation have tried a variety of approaches to address the drug problem from the last reauthorization in 2006. Still today, the o and dcp has been intimately involved in the drug control efforts. Todays hearing hearing will look at the o and d. C. Since its last reauthorization which expired at the end of fiscal year 2010. There ten. There are important questions for consideration, one has it evolved into mask the drug control strategies, too, what is the value of this office and is a correctly placed an appropriately resourced to fulfill those functions . Earlier this year, the agency sent a letter to chairman and Ranking Members and their counterparts in the senate, the letter included a proposed language for reauthorization of the o and dcp todays hearing will focus also and discuss that proposal. Well also hear testimony of the director of drug control policy mr. Pacelli on the work that is being done there. As we look at these proposed changes for the authorization of the high intensity Drug TraffickingAreas Program we are referred to as the h idt a program. The hi dta program has been a leader in bringing together local, state, national, and tribal lawenforcement entities to reduce the supply of Illegal Drugs by targeting and disrupting Drug Trafficking organizations. My note in that particular area we are very familiar with that local lawenforcement and North Carolina where we have an area that has that cooperation. The on dcp changes would allow for the use of the hi dta funds and engaging prevention and treatment efforts. Previously only limited hi dta funds would be used for prevention efforts and no funds were permitted for treatment. In response to this proposal, the national hi dta members wrote to the Oversight Committee suggested a compromise that would allow for the use of funds for prevention and treatment but with a cat. I imagine the Congressional Liaison for the hid ta directors association, mr. Kelly will be able to provide further explanation on that letter and the proposed language we look forward to hearing from you and all of the witnesses today. I would now recognize mr. Connolly, the Ranking Member for his opening statement. Thank you and thank you for holding this hearing. It is a very important topic. The office of National Drug control policy plays a Critical Role in coordinating the federal response to our troubling drug epidemic in which the annual debt from drug overdoses, now outnumber outnumber those caused by gunshots or car accidents. The office itself manages a budget of 375 million, two National Grant programs coordinates the related activities of 39 federal departments, agencies, agencies, programs. Totally more than 26 billion. So, it is more than a little concerning that Congress Allows the offices formal authorization to expire five years ago. Allowing is simply to subside on annual appropriations rather than a longterm authorization. It has been nearly a decade since Congress Seriously considered a National Drug control policies and activities. As well hear from todays panel, a great great deal has changed in that interim period. Sadly, not for the better. Mr. Kelly, of the national hi dta director Association Says the scourge of drug use has no boundaries, it does not recognize race, gender, age. The efforts of the on dcp are vital to, and visible in each of our respective communities. Mr. Chairman, i appreciate the bipartisan spirit in which we approach this hearing on the on dcps performance in its its proposal for reauthorization. I know many of us are troubled, very troubled by the spike in heroin use in our community. Heroin used to be a very static, demand drug. No longer. In my home state of virginia, for example the number of people who died using heroin or other opiates is on track to climb for the Third Straight year. Heroin related deaths doubled in my own home county of fairfax just across the river tween 2013 in 2014. That follows a troubling trend all across the national region. I know others and share that concern as well. Communities in my district have been fortunate to receive assistance from both high intensity Drug Trafficking program which divides grants for local, state horseman agencies to counter Drug Trafficking activities. The drugfree Communities Program which provide grants to create Community Partnerships aimed at reducing Substance Abuse especially among young people. Virginia now has 20 counties out of 95 that have been designated as high intensity Drug Trafficking areas. Four, are in part of the appalachian region, and 16 are part of the washington baltimore area. While the program has historically been more enforcement focused, we are beginning to see an increased focus on prevention and treatment and i think that is appropriate. That is reflected in the administrations proposal. Current all caps at 5 the amount of funds that can be used for prevention activities. 5 . Twentyseven of the 28 designated areas of, the statute actually prohibits funds for being used as Treatment Programs with the exception of two grandfather programs in the washington, baltimore and northwest regions. As their efforts predate the prohibition in the previous authorization. In fact, my district benefits from that with some providing day treatment and detox services. I think that 5 limit does not make sense. Especially in light of a lot of changes in the demand for opiates and other drugs. I look forward forward to hearing more from director botticelli about this in the strategy. Given the language it would allow the regional Drug Trafficking areas, upon request of their boards to spend funding on treatment efforts and to spend above the current cap on prevention. That would amount amount to a considerable it Investment Strategy such as diversion, or alternative Reentry Programs that have proven successful in the National Capital region and other communities across the country. I appreciate mr. Kelly, with your lawenforcement background acknowledging that we cannot arrest our way out of this problem. We are moving more and more towards a partnership between Public Public safety, Public Health, to create a holistic approach to the substanceabuse challenges they did so many communities across america. The directors personal story speak to the power of treatment and recovery. Mr. Chairman, i hope our subcommittee can play a constructive role in helping to advance this important reauthorization effort and i very much of appreciate the bipartisan spirit in which you have approached it before the hearing and testimony this morning. Thank you. I i think the gentleman, the chair now recognizes the gentleman from maryland, the Ranking Member of the full committee for his opening statement. Thank you very much mr. Chairman. As i listen to mr. Connolly, cannot help but be reminded in this day and age, we are fully realizing that drug addiction has no boundaries. It has no boundaries. Blacks, whites, rich, poor, from one coast to the other and statements in regards to treatment, ladies and gentlemen some of the most profound words that will be spoken here and we better wake up. We need to begin to address this more and more as a Health Problem because again, what were seeing now with heroin, i known about heroin for many years in baltimore, but now it is spreading everywhere. People are getting to understand that prevention is so very crucial. So the office of National Drug control policy has a difficult but crucial mission, it is fast with leading efforts across the federal agency to reduce drug use and mitigates its consequences. On dcp is also responsible for developing and implementing strategies and budgets annually while also having longterm goals, none of these responsibilities is simple. I have been impressed with how diligently this administration has tackled the staff while being efficient with the resources that are provided. We are here to discuss reauthorization of this vital work, which includes the drugfree Communities Program which im very familiar with, valuable Grant Program that mobilizes communities to prevent drug use. It also includes Drug Trafficking program which operates through regional efforts with state, local, tribal lawenforcement agencies to dismantle and disrupt Drug Trafficking areas. On dcps overall goal are substantial. The stakes are high. They include reducing drug use among our youth, reducing the abuse of a wide range of substances, and lowering and lowering drug related deaths and illnesses. Despite what are often seen as insurmountable obstacles, on dcp is making progress on many of these by engaging all of our Community Stakeholders from police officers, to help professionals. In 2010 the on dcp took a crucial step in recognizing that addressing drug addiction is not merely a Public Safety issue. It is a Public Health issue. We we must tackle the demand for drugs as well as they are supplied. We must recognize recognize that prevention and treatment are crucial tools that complement the lawenforcement efforts. I have seen up close and personal the ways drug abuse have been distracted. I have often said that if you want to destroy a people, if you want to destroy a community and you want to do it slowly but surely, you can do through drugs. And miles city of baltimore i have seen entire communities fractured and broken by drug use , i have seen landmarks like our world famous like the content market become synonymous with Drug Trafficking, i have seen people was so much pain they do not even know their pain. I have seen people be hardworking citizens in our community and staggering across streets slumped over from effects of heroin addiction. I have seen right now, if you went to baltimore in certain areas you see hundreds of them who have lost their way. This is not the baltimore i have grub, is not the baltimore i know. The leaders hold this conviction to over the years they have demonstrated the treatment and lawenforcement efforts. I am also encourage that we are one of five organizations that will receive 2. 5 million to address our nations heroin heroin epidemic situation through the heroine Response Strategy. Using the wraparound approach that encompasses lawenforcement Community Involvement and treatment prevention strategy, the washington has dismantled 92 Drug Trafficking and sees almost 12000 kilograms and nearly 3000 kilograms of cocaine and heroin all sense 2013. It is because these demonstrated successes that i was pleased to learn that the on dcp is asking to equip all of it for crucial prevention tools as well. Today i look forward to learning more about the changes the on dcp is proposing and what has been doing to address recommendations for improvement provided by the government. Finally, this is an issue that affects all of us, it affects all of us. If it has not affected yet, i promise you it probably will. Whether you live in west baltimore or the mountains of new hampshire, drug abuse affects every community in america. Every one of them. I look forward to working with all my colleagues to ensure full and swift reauthorization of the on dcp. The program is absolutely crucial to the future success, safety, and health of our great nation. With that mr. Chairman i think you. And i yelled back. And personal words. As it brings it home up close and personal for all of us. I i think the Ranking Member for that. I would hope the record open for five legislative days for any member who would like to submit a written statement. The chair has noted the presence of the gentleman from ohio earlier has checked in, mr. Turner, member of the Pole Committee and his interest in this particular topic is important. He has stepped out for an Armed Services hearing but will be back. We welcome you to participate fully in todays hearing. Seeing no objection, so order. Will now recognize a panel of witnesses, panel of witnesses, i am pleased to welcome the honorable michael bow to chile, is that correct . Botticelli. I will try will try to get that better. The director of the. He is more famous for painting paintings. The the director of the National Drug control policy at the office of National Drug control policy, welcome. Mr. David kelley, the Congressional Liaison at haida which is the National High intensity Drug Trafficking areas it director association. And and mr. David maller, director of lawenforcement issues at the gao. Welcome to all, pursuant of Committee Rules we would ask all witnesses be sworn in before they testify, if you you would please rise and raise your right hand. Do you solemnly swear or from that the testimony youre about to give will be the truth, the whole truth, nothing but the truth . Thank you, you maybe see. But the record be seated that all witnesses answered in the affirmative. In order to allow time for discussion, please limit your oral testimony to five minutes if you would, but your entire written statement will be made part of the record. Mr. Botticelli we will recognize you for five minutes. Chairman meadows, Ranking Member connolly, and other members, thank you for the opportunity to appear before you today. To discuss the administrations proposal for reauthorization of the National Drug control policy. It is truly an honor to be in this position and to be at this hearing today. On dcp was established by congress under the antidrug abuse act of 1988. It was most recently reauthorized by the office of National Drug control policy reauthorization act of 2006. As a component of the executive office of the president , on dcp establishes policies, priorities, objectives of the National Drug control programs and ensures adequate resources are provided to implement them. We develop, evaluate, correlate, correlate and oversee the international and domestic antidrug efforts at the executive branch into the except possible local and state activities. On dcp is responsible for issuing the National Drug control strategy which is our primary blueprint for drug policy. The strategy treats our nation Substance Abuse problems as Public Health challenges as well as Public Safety once. And approaches to it dress drug control policy since this administration released its inaugural strategy in 2010. In that strategy, on dcp set ambitious and aspirational goals for reduction of illegal drug use and its consequent is. We knew advance advancing these goals would be challenging. A careful examination of the most recent data show that significant progress has been made in many areas. We know we have far to go in many other areas as well. For instance, we have moved toward achieving our 2015. To provide upon the request of hida executive board, the director may authorize the expenditure of hida funds to support initiatives to provide access to treatment as part of a diverse and alternative sentencing or Reentry Program for drug offenders. We know such programs have proven successful in jurisdictions across the country and breaking the cycle of drug dependence and crime. New language would also authorize the expenditure of hida funds for Community Drug prevention efforts and access of the current 5 level. Note these expenditures would be driven by the hida executive board should they see a need and at their discretion. In some instances the use of a limited amount of funds to support a Treatment Program for drug offenders or support as we discussed as a committee on dcp intends to reorganize the structure to facilitate greater collaboration among on dcp Public Health, Public Safety, International Policy staff across the spectrum of policy. Our new structure will facilitate the formation of broadbased, issue focus working groups bringing together staff and policy expertise. This reorganization is separate and independent from the reauthorization bill and can be accomplished through our existing authority. However as most of the major drug control issues facing our country cant be placed neatly into demand or supply reduction category, the proposed authorization would eliminate on dcp Deputy Director position. Leadership would be overseen by the director and coordinated to staff. Im glad to be here to discuss these issues with you in further detail. We are continually grateful for congress in this Committee Support for owen d. C. Work to address Substance Abuse in this nation. Thank you very much for your testimony. Mr. Kelly kelly you are recognized for five minutes. Chairman meadows, and Ranking Members i am honored to appear before you today. To offer testimony high lighting the highend density Trafficking Program and to speak to the reauthorization drug control policy. Specifically to the recommendation of hida to oppose the language. On dcp establishes priorities for the drug policy, the director is charged with producing the National Drug control strategy that direct the nations effort. The current strategy promotes a focused and balanced approach. The hid pa program is essential. They are and 48 states, puerto rico, u. S. Ridge and islands, and the district of columbia. Hida enhance coordinate drug abuse efforts from a local, regional, National Perspective leveraging resources at all levels in a true partnership. At the national level, on dcp provides policy direction and guidance to the hida program. At the local level, each hida is governed by an executive board comprised of federal, state, local, tribal agencies. This provides a. This provides a balanced and equal voice and identify regional threats, developing strategies, assessing performance. The flexibility of the leadership model creates the ability for the executive board to quickly, effectively, efficiently adapt to emerging threat that may be unique to their own state. Investigative support centers, and each hida create a structure that facilitates informations sharing among lawenforcement agencies to effectively reduce the production, transportation, distribution and use of drugs. The strength of the hida program are truly multidimensional. One of the cornerstones of the program is as demonstrated below ability to bring people and agencies together to work toward a common goal. The neutrality of the program is viewed as a key to it success. Hida hida is a program, not an agency. They do not have use of any one agency or hold the mandates of anyone agency. It serves to felicitate and coordinate. Hidas is also involved in Drug Prevention activities. The fact that we cannot arrest our way out of this drug problem is well recognized in the lawenforcement community. The emerging partnership between Public Health and Public Safety has never been more important. In hida provides a perfect plat form to promote that partnership. They seek to break the cycle of drug of abuse and crime, the focus is to reduce crime in targeted communities and change the drug habits and repeat offenders. The new england hida has partnered with the Boston University school of medicine pain program, here the opiate heroin epidemic is addressed at the front and toxtensive education. To an innovative innovative use of discretionary funds, five hidas have joined a heroine Response Strategy to address the hair would threaten their community. It provides a unique, unprecedented platform to enhance Public Health, Public Safety, and collaboration across 15 states. On dcp and the hida program currently enjoy a collaborative and cooperative working relationship that has never been stronger. The national hida association strongly encourages congress to reauthorize on dcp during the session. The national hida supports of the existing language of the l d cpa reauthorization act with three exceptions. First, first, the existing authorization specifies a director shall ensure that no federal funds appropriate for the program are expended for the establishment orcs mansion of Treatment Programs. The proposed revision of this would allow the director upon request of a higher executive board to authorize the expenditure to support drug Treatment Programs. We support this change. We believe the funding should not exceed a cap of 10 of the effective hidas baseline budget. Second, in the past no more than 5 of hida funds could be expended for the establishment of Drug Prevention programs. The new wording allows the director upon request of a higher executive board to authorize an amount greater than 5 . We support this change. Again, we believe the funding should not exceed a cap of 10 of the effective baseline budget. Third, and finally the language authorizes a preparation to on to on dcp of 193. 4 million for the hida program. This amounts to a 22 reduction in program funding. This reduction was severely handicapped hida program. We respectfully request 245 million which was the amount and the previous fiscal year. I look for to answering your question. Thank you for your testimony. Mr. Mauer. Good miming lunch im pleased to be here today to discuss the gaos findings and enhance coronation among federal, state and local agencies. Combating drug use and dealing with its effects is an expensive proposition. The administration requested more than 27,000,000 dollars to dollars to undertake these activities in 2016. Insuring this money is well spent, that were making progress, and that berries agencies are well coordinated is vitally important. Over the years, gao has helped iris in the American Public assess how well federal programs are working. In many instances, it is hard to tell because agencies often do not have good enough performance measures. On dcp, to its credit is focused a great deal of time, tension, and resources on developing and using performance measures. Five years ago they established a series of goals and specific outcomes on dcp hope to achieve by 2015. In 2013 we reported that a related set of measures were generally consistent with effective Performance Management and useful for decisionmaking. That is important to remember especially when the conversation turned to what the measures tell us. Overall, overall, there has been a lack of progress. According to a report on dcp issue two weeks ago, none of the seven goals have been achieved and in key areas the trendlines are moving in the opposite direction. For example, the percentage of eighth graders who have ever used illicit drugs has increased rather than decrease. The number of drugrelated draft deaths in emergency cases has increased rather than decrease. More americans now day more and then drug overdoses than in car crashes. Its also important to mys progress. There been substantial reduction in the use of alcohol and tobacco by eighthgraders. The thirtyday the thirtyday prevalence of drug use by teenagers has also dropped. Theres also recent progress in federal Drug Prevention and Treatment Programs, two years ago we found the coronation across 76 federal programs in 15 federal agencies was all too often lacking. For example 40 of the programs reported no coronation with other federal agencies. We recommended on dcp take action to reduce risk of duplication and improve coronation. Since that report have done just that. It has conducted an inventory of various programs and updated budget process and monitoring efforts to enhance coronation. Another report highlights the risk of duplication and overlap among various entities. To enhance coronation on dcp funds and rate multiagencies support centers and hidas. The centers were the centers were one of five informatiosharing entities we reviewed including joint Terrorism Task force, an urban area centers. We found that while these entities have distinct missions, roles, the responsibilities, their, their activities can overlap. For example, 34 of the 37 field base entities we reviewed conducted overlapping analytical or investigative support activities. We also found on dcp and other agencies did not hold agencies accountable for coordination or to improve coronation. Since our report on dcp in the department of Homeland Security have taken action to address. They have not yet sufficiently address the mechanism or looked at those that have enhanced can be implied to reduce overlap. In conclusion, as Congress Considers options for reauthorizing on dcp it is worth reflecting on the deeply ingrained nature of illicit drug use in this country. It is an extremely complex problem that involves millions of people, billions of dollars, thousands of communities. There are real costs and lives and livelihoods across the u. S. Gao stands ready to help congress oversee on dcp and other federal agencies as they work to reduce these costs. Mr. Chairman thank you for the opportunity to testify today look for to your question. Thank you so much i appreciate the fact that you acknowledge may be deficiencies but also areas where performance was good. Thank you for that balance. The chairs going to recognize the vice chair of the subcommittee mr. Wahlberg for his five minutes of questions. Thank you mr. Chairman. I appreciate that and enjoy my time in your district over thanksgiving. Im notifying a view of that now since you dont have a chance to call the sheriff. Back to serious, like many areas across the country areas in my district, Mineral County on the toledo line, others have experienced some significant struggles of fighting against the growing tide of heroin use and abuse. Also the misuse of medication, prescription pain medicines as well. Im aware that on dcp has increased some of their efforts in this area specific to the heroin strategy, fortunately fortunately it is limited to certain regional areas. Mr. Botticelli, what efforts have on dcp undertaken to address Prescription Drug abuse and heroin use . Thank you you for that question, i think theres no more pressing issue that faces on dcp in the country right now than that morbidity and mortality associated with Prescription Drugs and heroin. Part of the work that on dcp does is continuing to monitor the Drug Trafficking and putting resources and efforts against those. In 2011 on dcp released as prescription releases Prescription Drug abuse plan acknowledging the role that particularly Prescription Drugs were plain at the time. As it it relates to some of the issues. These included broadbased efforts to reduce prescribing of these prescription medications, call for state based Prescription Drug program so that positions would have access to patients prescribing history. Working with our partners with the dea to reduce the supply of drugs coming from any of these communities. Also to coordinate lawenforcement action. We also simultaneously call for an increase in resources, particularly treatment resources to deal with the demand that we see for those resources. If we has seen and we have made progress we have seen reduction among youth and young adults, we have seen a leveling off of Prescription Drug overdoses over the past several years. Unfortunately that has been replaced with significant increases in heroine related deaths. Is that simply where they are going of reduce cost to them, assess ability and other reasons . When we look at data, it appears only a very small portion of people who misuse Prescription Drugs actually progressed to heroin. About five percent. If you look at new or users to heroine, 80 of them started misusing pain medication. We we know to deal with the heroin crisis compels us to deal with the Prescription Drug use. We are also focusing on how we address the heroin issue. Again from a comprehensive perspective. Perspective. We know some of this is related to the vast supply very chief, very pure heroine. Impreza country present country where we havent seen it before. As we have talked about we know that heroin has been in many of our communities for a long time. We really, really have to diminish the supply that we have. We also have to treat it, make sure people have access to good, evidencebased care. Care. And weve also been working with lawenforcement to diminish and reduce overdoses through reversal drugs in lockdown. They are shepherding people into treatment, not only only have we seen our lawenforcement is responding do seen overdoses but really accelerating and coming up with i think is really innovative innovative programs to get people into treatment. Thank you. Mr. Kelly, what efforts has the hida program use to address Prescription Drug abuse and heroin use . Thank you for the question. The hida program has historically always identify the most prevalent threat. Theres no greater threat, certainly in the northeast and throughout other areas of the country than the use of heroin and controlled Prescription Drugs. Its probably the overriding issue taking the lives of so many. For that reason of the hida program has put it firmly on the radar. The hida program through its efforts of federal, state, state, local at the ground level comprise of federal agencies working together to identify the source of the heroin that is coming into this country, dealing with the Drug Trafficking organizations that have invaded our communities, through a variety variety of investigative methods. The hida program also embraces a holistic and multidisciplinary approach. We recognize and lawenforcement across the country each and every day that we cannot arrest our way out of this problem. For that we have reached out to the Public Health community, we have made partnerships were partnerships never were before. International as well . Yes, through on d. C. P where they have worked to identify where it is coming internationally. When we do that we try to interrupt that supply line. The supply line goes to distribution or threat the United States, we have hida groups that focus primarily against major trafficking organizations, not the user on the street per se, not the person that is afflicted medically that is the victim of the disease, but those organizations that are making money at the anguish of so many. We look at it in a multidisciplinary approach from enforcement, prevention, and from partnerships we have established throughout the Public Safety and Public Health community. Thank you. My time has expired. I think the gentlemen, we now recognize the Ranking Member of the subcommittee mr. Connolly for five minutes. Mr. Chairman i be pleased to distinguish Ranking Member if he wishes to go. Thank you very much. In trying to tackle druggies from all angles i understand that on dcp uses demand reduction efforts as well as the supply reduction efforts. I also understand that one dcp would like to clarify in the definition section of this new reauthorization that it is the man reduction work that can include prevention, treatment, and Recovery Efforts. Mr. Botticelli, can you give examples of what you mean by prevention, treatment, and Recovery Efforts . Thank you. As you noted one of the overriding efforts is to have a balance to drug policy. Too long we have used Public Safety is our prime response to issues of drug use and many of our communities. Under this administration we have tried to focus on a balanced portfolio of increasing her to be a effort treated it as a Public Health issue. Our understanding of addiction has changed dramatically. From understanding that just as a criminal justice issue but as an acute condition. Really understand it as a chronic disease, one that we can prevent, we have seen dramatic reduction in under age youth use but we also know that many times we let this disease progressed to an acute position. Thats why we are calling for language to allow us to do a better job of screening people in intervening early in their disease before they use that condition. And before before they intersects with the criminal justice system. We also know to treat this issue requires more than just a treatment. Its a chronic disease, it requires longterm recovery. We know people need Additional Support beyond treatment. Things like housing, employment, pure recovery networks. Part of our language change allows us to focus on that continuum of demand strategies that we know to be effective in dealing with this is a Public Health issue. It sounds like it would like to allow. [inaudible] in support, i support this this because 27 of the 28 hidas already understand the importance of using prevention focus activities. I also support this because i have seen hida treatment efforts work so well which is one of the two hida switch currently allowed treatment. Our washington hida has provided drug treatment to about 2000 individuals with criminal records today. Over half of these have successfully completed their Treatment Program. Furthermore the rate of recidivism for these hida clients after one year has been just 20 while comparables recidivism rates across many states is over 40 . In addition, the washington baltimore hida has captured over 4000 fugitives from drug charges removed over 2000 firearms from the streets in the last three years alone. Mr. Kelly and your witness testimony you wrote the lawenforcement community recognizes and i quote, we cannot arrest our way out of this problem on quote. Would you agree treatment and prevention efforts have augmented the washington hidas to carry out the mission and how so . I would agree with that congressman. How so is that the hida program traditionally has been in a porcelain base program. That is where our greatest exhaust has lied over the years and it continues to show Great Success from that. We also recognize as lawenforcement professionals that the multidisciplinary approach is very important as is the landscape of drug abuse has changed. Treatment and prevention play crucial roles in the overall strategy. Washington baltimore for many years in the Treatment Program well before the it was in place has shown Great Success. However, we also recognize that it is a very expensive proposition, the treatment ended things and prevention has been throughout the hida program for a number of years. The flexibility of the hida program, the beauty of the hida program is our ability to bring people together to make the best possible use of resources, to tap into other treatment sources, together with some limited hida funds to make a great impact. I really believe that can continue should congress reauthorize under the current authorization language. I believe treatment does have a place at the table. I think i think most height is across the land would agree with that and the executive board would have the ability to bring that aspect of the strategy into play should they decide to do that. And mr. Botticelli, under hide is also using tools like encouraging lawenforcement, im very familiar with it. One of the things that has concerned me is they jack up the prices. The manufacturer, knowing this is a drug that can say peoples lives, and it has a peoples lives. They jack up the prices and i have been all over them. Im just wondering, what efforts have you all i mean i know you know this and im wondering what if anything you have done to try to encourage the manufacture of this lifesaving drug to be reasonable . Thank you for the comments, i too is it very disturbed that the manufacturer does would more than triple the price. We know it diminishes the ability of many of our communitybased organizations and lawenforcement to really expand this distribution. We have been pursuing a number of goals, im pleased to say just a few weeks ago the fda approved a new nasal administration, developed by another manufacturer, so we hope that will continue to bring some competition to the marketplace and drive down to man. We have also looked at establishing part of our work over the last few years establishing dedicated Grant Programs either through other Grant Programs or additional dollars to help support additional drugs. It is particularly disconcerting to me that people took advantage of some of the incredible dire need that we had out there to significantly raise the price. Thank you mr. Chairman. I think the gentleman, the chair recognizes the gentleman from South Carolina, for five minutes. Think very much, thank you for being here today. I want to go over couple things that mr. Botticelli said in his opening testimony, and mr. Mark test on briefly. I heard mr. Botticelli say that they made substantial or significant products that but ive heard them Say Something different, lets drill down into the seven goals, could you please briefly tell us what those seven goals were. You mentioned one of them which was eighth grade marijuana use or Something Like that. This seven National Goals were to look at their day use by lifetime drug use and outspoken about by illicit drugs, 30 day use by young adults, the amount of chronic users of different illicit drugs, drugrelated deaths, drugrelated morbidity, and then rates of drunk driving. If i read this correctly stop me from wrong, that in march of 2013 the gao said that on those seven goals that have been laid out in 2010 that you folks had made progress on one, no progress on for their p to be a lack of data on the other two. Fast forward to a few weeks ago when your own analysis came out and he said that you had made progress on one, no progress on three, and was somewhat described as mixed progress on three others. Heres my question. It is now five years, none have been achieved, you made progress on one, tell me, why are we still spending money nonetheless. Wires on this. Wires we still doing this if youve had five years that were actually getting worse not better . Tell me how substantial progress has been made . Let me go in detail were progress is. When we look at one of the main measures particularly as it relates to you because we note youth are vulnerable, when we look at the decrease of prevalence rates among 12 to 17 years we have made significant progress toward those goals. 12 to 17 is the adult group . Correct. We know Substance Abuse by young adult can set a lifelong trajectory pattern. When you look at eighth graders, because again, because again we know that early use predicts lifetime use, when we look at illicit drug use that is where we have not made progress. Again, if, if you take marijuana out from other illicit drugs that we have made progress, not a marijuana but but on other illicit drug use. We have met the goals as it is related to alcohol and tobacco. Let me stop you there. Do you agree with that by the way . If you take marijuana out have been made substantial progress on the other . We did not have access to the root data to perform that analysis. It seems to follow the broader trends that we have seen. One of the other issue we looked at his chronic users. This is is folks that have addictive issues. Theyre involved in criminal behavior, when you look at a number of those markers in terms of cocaine use, in terms of methamphetamine use, we have seen significant reductions, we are moving toward our goal. Marijuana use a we are moving away from that goal. You see a dramatic increase in the use of marijuana particularly among young adults in this country. If you look at our marker that looks at reducing drug use among young adults in the country, we have seen no change, again if you take marijuana out of the young adult use, we have, we have seen significant and would have met our target for reducing drug use if it were not for increases in marijuana use. If you had the access to that root data, had the ability to separate out marijuana use, may be marijuana use was different now than it was in 2010 we have states legalizing it. What it give it a better data . If we could separate out that particular illicit drug . Absolutely, access to better data would mr. Botticelli . Are you able to do that. Yes. I youll back the balance of my time. I think the gentleman. We recognize the Ranking Member of the subcommittee mr. Connolly for five minutes. I think the chair. Mr. Botticelli, were just asking about metrics, mr. Moores testimony left the impression that actually rather than progress, we are experiencing regression. Are we making progress in heroin use in the United States . Clearly we are not search. Are we making progress and cocaine use in the United States brush my. Yes we are. And marijuana is now in legal limbo, clearly states move in the way, i think you need to desegregate that if we want accurate data. One of the things about metrics is it seems to me that even the seven metrics cited, they are little broad and we kind out want to dig down. I think all of us on a bipartisan basis, what we want to do is and the drug and thats what we want to. One of the concerns i have mr. Kelly and by the way are you from boston . Where you from . If i could have where you from . Melrose massachusetts. Okay i can talk that way if i have to. But i try not to now that i represent virginia. Currently mr. Kelly we have in law and the last reauthorization of 5 cap of treatment for your program, set correct. Thats correct. The new legislation would double that to 10 , set correct. It would allow for the current language would allow for amount greater than 5 aware recommending it be capped at 10 . Effectively cap but not statutorily cap. Thats nice getting it because i have a problem with the cap, and he cap is arbitrary. Any Given Program you might determine or your colleagues around the country might determine, the prevention treatment rate is the way to go. So the mix may be different in South CarolinaNorth Carolina, virginia, i want to make your you have flexibility without losing the value of the program. Is that the goal youre seeking as well. Thats right congressman, the goal is to maintain integrity of the haida program as we all know it. The success of the program as we all know it is disrupting and dismantling Drug Trafficking aimed at the supply. We also recognize the prevention treatment of the whole approach. The haida director and trying to avoid diluting the program kinda knowing there is also 5 , which i might add no haida in the country has approach in recent memory 5 of the spending on the prevention program, yet they have that ability. Where we fill allowing an open ended spending or funding for those has the possibility of changing the structure and the integrity of the haida program or a particular hida as we know it. The strength of it all 28 or 32 pending on how you choose to view it is of unity and strategy. If we had one or more that really bent a particular way because of openended funding, i think would change the landscape as we know it. Okay but you just said you cannot arrest her well this problem. Let me ask, why not . Why not just arrest anybody who is misusing drugs and put them where they belong and call it a day . Isnt that a more effective more effective strategy. No, unfortunately that is not the case