Ensure availability of MH/SUD medications via telehealth

Emergency & Crisis Response
Parity, Coverage, & Equitable Access
social determinants of health
No items found.
Population
Rural Communities
Coverage & Standards
Telehealth
Federal department
Health and Human Services
Justice
house committees
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senate committees
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Recommendation

The Department of Health and Human Services (HHS) and the Drug Enforcement Agency (DEA) should ensure availability of critical medications to treat mental health and substance use disorders (MH/SUDs) through telehealth prescribing without burdensome in-person requirements that restrict access, particularly in rural and other underserved communities.

Background/summary

During Spring 2023, after the COVID-19 public health emergency ended, the Biden Administration released proposed rules that would have returned to restrictive telehealth prescribing rules for buprenorphine, the critical medication for opioid use disorder, and important mental health medications. To receive a prescription for these medications by imposing an in-person medical evaluation requirement following an initial 30-day supply prescribed via telehealth.[1] Such restrictions would significantly decrease access to needed MH/SUD treatments.

For individuals with opioid use disorder, such a requirement would disrupt care for tens of thousands who cannot access an in-person appointment and would make it impossible for countless others to initiate and sustain treatment. This is especially true for rural Americans and those without access to transportation. Recent research demonstrates the effectiveness of prescribing buprenorphine through telehealth.[2]

The Kennedy Forum and Legal Action Center led a letter to HHS and the DEA opposing these harmful rules, which was signed by over 50 other groups.[3] If the Administration believes statutory changes are needed to fully allow for appropriate telehealth prescribing, it should work with Congress without delay to ensure that these medications can be prescribed via telehealth.

citations

1. Drug Enforcement Agency. DEA Announces Proposed Rules for Permanent Telemedicine Flexibilities. Last Accessed February 4, 2023.

2. Eric Weintraub, Aaron D. Greenblatt, Joy Chang, Christopher J. Welsh, Alexandra P. Berthiaume, Shelby R. Goodwin, Rachel Arnold, Seth S. Himelhoch, Melanie E. Bennett, and Annabelle M. Belcher. Outcomes for patients receiving telemedicine-delivered medication-based treatment for Opioid Use Disorder: A retrospective chart review. National Institutes of Health, National Library of Medicine. Last Accessed February 4, 2021.

3. The Kennedy Forum. Advocate Letter to DEA and HHS Officials Expressing Opposition to the Restrictions on Telehealth Prescribing for MH/SUD Medications. Last Accessed March 29, 2023.