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WASHINGTON — The American Medical Association is opposing a change to patient privacy laws that would allow doctors to more freely share information about a patient’s history of substance use, a proposal that has divided the health care community and highlighted some of the challenges of addressing the opioid epidemic.

In a letter to lawmakers obtained by STAT, the AMA said it believed there was a “fundamental misunderstanding” among groups working to incorporate the proposal into a sprawling opioids bill. Relaxing restrictions on patient privacy, the AMA wrote, could prevent individuals with addiction from seeking medical treatment in the first place.

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The letter to Reps. Greg Walden (R-Ore.) and Frank Pallone (D-N.J.), the leaders of the House Energy and Commerce Committee, is a potentially fatal blow to the proposal, which has long enjoyed Walden’s support and that of a wide array of other lawmakers, including the House’s 12 physicians.

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