Knowledge Library

DEA Announces Proposed Telemedicine Rule Change for Controlled Substances

On 2/24/23 the U.S. Drug Enforcement Agency (DEA) announced a proposal for permanent rule changes to the Ryan Haight Act that will allow for the prescription of controlled substances through telemedicine, under certain circumstances, after the federal COVID-19 Public Health Emergency (PHE) expires on May 11, 2023. The Ryan Haight Online Pharmacy Consumer Protection Act of 2008 requires prescribers conduct an in-person examination to evaluate each patient at least once before prescribing a controlled substance, even if a patient has already been taking the medication in question. During the PHE, the in-person requirement was changed to allow prescribers to perform...

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COVID Public Health Emergency to End in May 2023

On 1/30/23 the U.S. Department of Health and Human Services announced that the federal COVID-19 Public Health Emergency, which was first issued in 2020 and extended for another 90 days on January 11th, will not be extended further.  Thus, the public health emergency will expire on May 11, 2023. The HHS recently posted a Transition Roadmap Fact Sheet that discusses what will and will not be affected by the expiration of the public health emergency.  One of the several affected regulations relates to the prescription of controlled substances: “The ability of health care providers to safely dispense controlled substances via...

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Violence Against Healthcare Providers

As violence increases across the country, so too have acts of violence against healthcare providers. Unfortunately, this is not a new trend; polls conducted in 2014 and 2020 revealed that 71% of physicians and 82% of nurses reported having been targets of violence at some point in their careers, and the U.S. Bureau of Labor Statistics estimated that healthcare and social service workers are 5 times as likely to suffer a workplace violence injury than workers overall. Since the beginning of the COVID pandemic, this epidemic of violence has continued to worsen. An August 2022 poll conducted by the American...

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Telehealth and Prescribing Controlled Substances

Read the latest Update on Telehealth Prescribing Controlled Substances - June 2024 In response to the COVID-19 outbreak and escalating pandemic, in January 2020 the U.S. Department of Health and Human Services (DHS) declared a federal public health emergency (PHE) that is still in effect today. The PHE declaration resulted in numerous waivers of federal laws and regulations impacting the practice of medicine, including telehealth, HIPAA, scope of practice, and Stark laws. The PHE also provides healthcare providers with COVID-related liability protections under the PREP Act. Simultaneously, many individual state medical boards instituted waivers around licensure requirements for out-of-state physicians...

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New California Laws in 2022

A variety of subjects impacting physicians were signed into law by Governor Newsom in 2021. Following is a sampling of new laws you should be aware of; all are effective January 1, 2022 unless otherwise noted. A comprehensive report on new healthcare laws is available from the California Medical Association. Electronic Prescribing Mandate This law (passed by the California Legislature in 2018) requires that almost all prescriptions written in California be transmitted electronically. The California Medical Association has published a description of the law, including the types of prescriptions that are exempt from the mandate. Does electronic prescribing trigger HIPAA...

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