Using survey data from 49 single-state agencies and the District of Columbia, their research shows that, across the nation, many single-state agencies are limited in the technical assistance provided for addiction programs and services in four key areas: improving health IT, enhancing cross-health system collaborations, conducting consumer outreach and enrollment, and achieving insurance certification. One of the 10 elements of the essential health benefits, identified by the ACA are services for substance use. Because of this renewed focus on addiction treatment by the ACA, expansion and enhancing of services can become priority areas for 301 agencies that can be supported through new ACA provisions.