BCHC to DEA: make teleprescribing flexibilities permanent

March 2025

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BCHC urges the DEA to make the pandemic teleprescribing flexibilities permanent and work with Congress to ensure ongoing access to virtual prescribing for patients and providers of certain controlled substances.

On behalf of the Big Cities Health Coalition (BCHC), Executive Director Chrissie Juliano sent a letter to the DEA about the proposed rule on Special Registrations for Telemedicine and Limited State Telemedicine Registrations.

While the DEA has shown forward movement on telemedicine prescribing of controlled substances policy, there is still concerning language in the proposed rule that restricts patient access to telemedicine rather than narrow protections against diversion of controlled substances. Concerns include:

  • In-person medical evaluation requirements which can disrupt ongoing treatment and exacerbate provider shortages
  • Complex special registration requirements which will be costly and overly burdensome for prescribers practicing telemedicine
  • Unnecessary administrative burden associated with nationwide Prescription Drug Monitoring Program (PDMP) checks
  • Unnecessary restrictions on prescribing abilities which could limit access to care

While the need for protections is understood, a clear pathway is needed for medical practitioners to practice telehealth nationwide without unreasonable burdens or restrictions. BCHC urges the DEA to ensure that final regulations prioritize patient access and provider flexibility.

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Read the full letter
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