Knowledge Library

DEA Extends COVID Telemedicine Prescribing Rules for Controlled Substances

UPDATE: DEA and HHS Extend Telemedicine Flexibilities through 2024 October 9, 2023 Statement from the DEA on Telemedicine Flexibilities deadline: "We continue to carefully consider the input received and are working to promulgate a final set of telemedicine regulations by the fall of 2024, giving patients and medical practitioners time to plan for, and adapt to, the new rules once issued.  Accordingly, DEA, jointly with the Department of Health and Human Services (HHS), has extended current telemedicine flexibilities through December 31, 2024.  The full text of the extension, entitled “Second Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled...

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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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Telehealth and Prescribing Controlled Substances

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 when providing telehealth services during COVID; these waivers were generally tied to...

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Dobbs v. Jackson Women’s Health: Abortion Laws and How Physicians Can Protect Themselves

The recent decision on Dobbs v. Jackson Women’s Health by the U.S. Supreme Court has pushed the issue of reproductive health back to state legislators. As each state grapples with how it will deal with this issue, it has created tremendous uncertainty for the physicians who serve those communities. Physicians are caught in an impossible situation of trying to care for their patients while operating within the law – with boundaries that are less clear and well-defined as they have been for the past 50 years. As we have for the past 47 years, MIEC will continue to stand with...

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