While data make it clear that problem substance users who don't meet clinical criteria for dependence far outnumber those considered dependent, most of the substance use field's attention is fixed to the addict. But professionals should pay heed to the many developments in health care that are targeting problem alcohol and drug users with screening and brief intervention (SBI) approaches. This week the White House announced that at least 70% of federal government workers are enrolled in health plans that now recognize two new CPT billing codes for SBI, a set of processes that can be conducted in physician offices. Some would like to see screening for substance use problems, particularly related to alcohol, become as common in the doctor's office as the blood pressure check. Addiction professionals should look for ways to link to these efforts, because in some cases, "SBI" could end up producing an "R"—for referral.