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odel into other hospital settings, and to evaluate intended and unintended effects of broad implementation. The hospitalist-directed ACS is a promising clinical initiative that could be implemented to expand hospital-based addiction treatment. Future research is needed to understand challenges to disseminating this model into other hospital settings, and to evaluate intended and unintended effects of broad implementation.As the extent of health disparities in the USA has been revealed, particularly during the COVID-19 pandemic, physicians