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Authors Posts by Jim Sharp

Jim Sharp

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The Drug Enforcement Agency (DEA) issued a temporary rule extending the allowance for physicians and practitioners to prescribe controlled medications to new patients based on a relationship solely established through telemedicine (live video or telephone for buprenorphine) until December 31, 2024. The extension will give the DEA time to consider permanent changes to their rules around prescribing controlled substances moving forward.

Key concerns from stakeholders expressed during the listening sessions were related to in-person visit requirements, the 30-day prescribing limit in the initially proposed rules, and adding various reporting requirements, such as notating on prescriptions that they were prescribed via telemedicine. The rule itself lists additional reasons the extension is being issued:

  • “Prevent a reduction in access to care for patients who do not yet have an existing telemedicine relationship;
  • For relationships established both during the COVID-19 PHE and those established shortly after, prevent backlogs with respect to in-person medical evaluations in the months shortly before and after the expiration of the telemedicine flexibilities;
  • Address the urgent public health need for continued access to the initiation of buprenorphine as medication for opioid use disorder in the context of the continuing opioid public health crisis;
  • Allow patients, practitioners, pharmacists, service providers, and other stakeholders sufficient time to prepare for the implementation of any future regulations that apply to prescribing of controlled medications via telemedicine; and
  • Enable DEA, jointly with HHS, to conduct a thorough evaluation of regulatory alternatives in order to promulgate regulations that most effectively expand access to telemedicine encounters in a manner that is consistent with public health and safety, while also effectively mitigating against the risk of possible diversion.

RCPA will continue its advocacy work in partnering with the National Council on Mental Wellbeing to support the flexibility becoming part of reimagined legislation. Also, RCPA will continue its efforts on the current appeal it has filed with the DEA and OMHSAS to provide regulatory clarification on the licensing classification for those provider members who submitted applications for DEA Site Registration to disseminate Controlled Substances under the titled Act of 1970.

If you have questions, please contact RCPA Policy Director Jim Sharp.

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Pennsylvania Senator Bob Casey, the Chairman of the Special Committee on Aging, will be introducing new legislation on the floor of Senate titled “The Home and Community-Based Services (HCBS) Relief Act of 2023.”

The HCBS Relief Act of 2023 would provide dedicated Medicaid funds to states for two years to stabilize their HCBS service delivery networks, recruit and retain HCBS direct care workers, and meet the long-term service and support needs of people eligible for Medicaid home and community-based services. States would receive a 10-point increase in the federal match (FMAP) for Medicaid for two fiscal years to enhance HCBS. Funds could be used to increase direct care worker pay, provide benefits such as paid family leave or sick leave, and pay for transportation expenses to and from the homes of those being served. The additional funds also can be used to support family caregivers, pay for recruitment and training of additional direct care workers, and pay for technology to facilitate services. The funds can help decrease or eliminate the waiting lists for HCBS in the states.

The HCBS Relief Act of 2023 will be introduced during the fourth week of October with a House companion bill expected to be released in the near future. Please join RCPA in supporting this critical piece of legislation to create a viable and sustainable pathway for HCBS.

If you have any questions, please contact your respective RCPA Policy Director.

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The Substance Abuse and Mental Health Services Administration (SAMHSA) has released updated guidance on the CCBHC Quality Measurements. The guidance provides revisions regarding monitoring of the demonstration project programs:

Additionally, SAMHSA has released a series of webinars and PowerPoints aimed at providing technical assistance for CCBHC providers, listed below:

If you have any questions or feedback, please contact RCPA Policy Director Jim Sharp.

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Community mental health and substance use treatment organizations can address one of the nation’s highest priorities — the youth mental health crisis — by collaborating with schools and school systems to provide school-based integrated health care.

To help organizations better partner with schools, the School-Based Health Alliance (SBHA) and the Center of Excellence for Integrated Health Solutions (CoE-IHS) created “Partnering With Schools to Improve Youth Mental Health: A Resource for Community Mental Health and Substance Use Care Organizations.”

Join us on September 26, 11:00 am – 12:00 pm ET, for Integration with Schools: The Key to the Youth Mental Health Crisis. This webinar will review the key considerations and resources highlighted in the new guide to help integrated care organizations gather what they need to initiate and advance their partnerships with schools and address the youth mental health crisis.

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September is FASD (Fetal Alcohol Syndrome Disorder) Awareness Month. This is an expansion of FASD Awareness Day that has been held each year on September 9 since 1999. People all around the world gather for events to raise awareness about the dangers of alcohol use during pregnancy and the challenges of individuals and families living with FASD. The first awareness day was celebrated on September 9, 1999; this day was chosen so that on the ninth day of the ninth month of the year, the world will remember that during the nine months of pregnancy, the safest option is to abstain from alcohol.

We hope you will take the time to review this month’s FASD Newsletter and share with your networks. RCPA wishes to highlight FASD Month for its members to bring awareness, education, and advocacy to this critical issue affecting children and families. If you have any questions or want to assist in promoting FASD Month, please contact RCPA Policy Director Jim Sharp.

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