New York Attorney General Letitia James joined 38 other state attorneys general Monday who together urged the U.S. Congress to remove three federal-law “barriers … that we cannot change at the state level” that they say are preventing many health care providers from providing effective opioid-disorder treatments.

In a letter to congressional leaders, including Senate Majority Leader Mitch McConnell and House Speaker Nancy Pelosi, the 39 state A.G.s targeted “three significant barriers” to treating opioid use disorder, including a “cumbersome, out-of-date” federal privacy rule on patient treatment records; “unnecessary [federal] burdens” on the prescription of a key treatment drug; and a federal exclusion stopping state Medicaid programs from receiving certain reimbursements.