unv502 2.9
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School
Grand Canyon University *
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Course
502
Subject
Medicine
Date
Dec 6, 2023
Type
docx
Pages
2
Uploaded by LieutenantElectron11307
Excerpt
One major policy focus in the US has been to reform the regulatory requirements for prescribing
buprenorphine for OUD. Requirements for getting a federal waiver have been characterized as a
barrier to care, marginalizing OUD care from mainstream medicine and disincentivizing health
professionals from learning about and engaging in buprenorphine prescribing (
Fiscella
et
al.,
2019
). Policy advocates have noted the dissonance of requiring such
regulation for buprenorphine when no such requirements are in place for the
equally, or potentially more, risky full opioid agonists that are widely
prescribed for the treatment of pain
Wakeman
and Barnett,
(2018)
. This
culminated at the end of 2022 in the passage of the federal
Mainstreaming
Addiction Treatment Act
, which officially abolished the federal waiver. This
policy intervention has been described by federal drug administrators,
bipartisan lawmakers, and physicians as “life-saving” and “historic” in
closing the addiction treatment gap (
The
White House,
2023
).
Paraphrase
Reforming the legal prerequisites for prescribing buprenophine for the treatment of opioid use
disorder has been a primary area of policy concern in the United States. Stipulated mandates to
receive a federal waiver are described as a hindrance to care, diminishing treatment for opioid
use disorders from conventional medicine and discouraging medical authorities from becoming
knowledgeable about and practicing buprenorphine medication (Hurst, 2002). Proponents of
policy have pointed out the contradiction in mandating regulations for buprenorphine while
leaving the equally, or possibly more hazardous full opioid agonists, which are commonly
administered for pain management, unregulated. The federal waiver was formally removed at the
end of 2022 with the approval of the federal
Mainstreaming Addiction Treatment
Act.
Physicians, political lawmakers, and federal drug administrators have hailed this policy
action in closing the gap in addiction treatment as a momentous and life-saving (Hurst, 2002).
Hurst, E. (2002, December). Online access available for all via ScienceDirect.
Composites
Science and Technology, 62
(16), 2085-2086. https://doi.org/10.1016/s0266-
3538(02)00205-1
REPLY
o
JC
Jason Crook
replied toKatherine Hedrick
Nov 12, 2023, 10:33 AM
Hey Katherine,
I was reading recently that the DEA was making it
more difficult for patients to get buprenorphine by
putting in place stricter regulations. Have you seen
anything about this lately? The DEA passed laws
making it difficult for patients. I don't think that their
intent was to make it harder for patients. They are
regulating but by doing so it has become more difficult.
Patients in addiction normally don't have vehicles to
drive distances to see a doctor regularly to get
buprenorphine. Most addicts rely on telehealth. It makes
it easier to get and stay on buprenorphine. However,
with the new DEA policy, it becomes harder. First, they
cannot get prescribed buprenorphine without first
seeing a doctor in person. Secondly, a patient cannot
get a 30-day prescription without seeing a doctor in
person before each refill. This is not the case for most
medications but it is for buprenorphine now. What do
you think of the new DEA policies? Are they needed
(Drug Force Administration, 2023)?
Drug Force Administration. (2023).
DEA.gov.
Controlled
Substance Guidance (dea.gov)
REPLY
o
DJ
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