A new online resource from the Substance Abuse and Mental Health Services Administration was designed for the general public to help people Find Support for issues related to mental health, drugs, or alcohol.

In response to a record 38,000 comments from the public, the Substance Abuse and Mental Health Services Administration and the Drug Enforcement Agency will extend the full set of telemedicine flexibilities adopted during the COVID-19 public health emergency that ends today, May 11.  The temporary rule will allow providers to prescribe controlled medications, such as buprenorphine for opioid use disorder (OUD), via telemedicine until November 11, 2023.  For patient-provider relationships established by that date, flexibilities will extend another year to November 2024.   While rates for OUD are similar in both rural and urban areas, the availability of medication-assisted therapies has been disproportionately located in urban areas.

 On May 10^th, the Federal Office of Rural Health Policy awarded approximately $1 million in supplemental funding to the Small Health Care Provider Quality Improvement Program recipients to support community benefits counseling activities and related work to meet community needs through the unwinding of the COVID-19 Public Health Emergency (PHE).   The twenty-one (21) award recipients will establish effective, equitable, and inclusive strategies around outreach, education, and benefits counseling to rural residents who may be disenrolled from Medicaid due to the unwinding of the COVID-19 PHE.

 The FORHP-supported Center on Rural Addiction at the University of Vermont provides information on new federal requirements for outpatient providers prescribing buprenorphine, a medication used to treat opioid use disorder.  While no longer needing a waiver from the Drug Enforcement Agency (DEA), clinicians will still be required to register with the DEA to prescribe controlled medications.  Beginning on June 27, the DEA registration will require applicants – both new and renewing – to affirm they have completed a new, one-time, eight-hour training.  Exceptions for the new training requirement are practitioners who are board certified in addiction medicine or addiction psychiatry, and those who graduated from a medical, dental, physician assistant, or advanced practice nursing school in the U.S. within five years of June 27, 2023.

  During the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services (CMS) waived certain requirements to allow greater access to healthcare products and services for beneficiaries of public health insurance. Several of these waivers, including health and safety requirements for CMS-designated Rural Health Clinics and Critical Access Hospitals, will end when the official public health emergency expires on May 11.  Certain policies, such as the Acute Hospital at Home initiative and telehealth flexibilities have been extended by Congress through December 31, 2024.

Electronic health information exchange is the ability to exchange medical records and other health information electronically among health care providers and between health care providers and patients. Survey data show that the use of various electronic exchange methods among hospitals and physicians has increased in recent years. However, a new report from the Government Accountability Office (GAO) found that as of 2021, reported use among small and rural hospitals was lower than that of other hospitals.

 On May 26, HRSA will follow a federal requirement to upgrade security measures for online systems requiring a login for external users.  The new multi-factor login procedure will affect those who access HRSA’s Electronic Handbook (EHB) system, including grantees, grant applicants, service providers, and consultants. To avoid issues with upcoming application and reporting deadlines, it is important to set up the new login procedure ahead of the change on May 26.  HRSA is hosting a one-hour webinar session on May 12^th at 1:00 pm ET to walk through the new EHBs login process. Participants will need to register in advance; the webinar only has 3000 slots available, but the session will be recorded and made available to users.

 Three years ago, HRSA launched Telehealth.HHS.gov to provide resources for patients, providers, and policymakers. Also available in Spanish, the site stays up-to-date on funding, events, research, and licensure, as well as guidelines that help providers and patients get the most out of telehealth practices.

The Self-Measured Blood Pressure (SMBP) Monitoring Implementation Toolkit (PDF) helps organizations integrate SMBP monitoring into care processes and workflows. The latest version adds a section to help a care team identify the best uses of SMBP for patients based on their blood pressure readings and risk factors. This workflow is courtesy of the Health Federation of Philadelphia, an HRSA-funded Health Center Controlled Network. The National Association of Community Health Centers (NACHC) developed the toolkit for CDC’s Million Hearts initiative.

The Substance Abuse and Mental Health Services Administration (SAMHSA) has released a new report, Moving Beyond Change Efforts: Evidence and Action to Support and Affirm LGBTQI+ Youth (PDF). The resource provides a comprehensive research overview of effective and ineffective therapeutic practices related to youth of diverse sexual orientations and gender identities.