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A couple of blocks off U.S. Route 12 in Walla Walla, Blue Mountain Heart to Heart has been treating people with substance use disorder for over a decade. But, for years, the nonprofit was unable to quickly offer a proven treatment for opioid use disorder: medication-assisted treatment.Staffers would have to arrange for patients to get an assessment with a trained substance use professional elsewhere to start the medication. Getting that assessment, and then, getting started on the medication, buprenorphine, used to take weeks.