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We thank McIlveen et al.[1] for their comments. Our study investigating state-level support for federal substance use disorder (SUD) treatment expansion included any state-level written communications such as memoranda, guidelines, fact sheets, or executive orders addressing federal policy expansion as of April 13, 2020 [2]. Substance Abuse and Mental Health Services Agency (SAMHSA) stated on March 3, 2022, that “over the past two years, 45 states have taken advantage of” methadone take-home treatment expansion [3]. We are glad to know that the majority of states eventually took advantage of this policy. To clarify, when we submitted our study for publication in March 2021, there were no public reports on the extent of policy uptake. Our estimates for policy uptake in the first 6 weeks of the SARS-CoV-2 pandemic were accurate based on accessible information available at the time.

McIlveen et al.[1] argue …