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Associations Between State Policies Facilitating Telehealth and Buprenorphine Episode Initiation and Duration Early in the COVID Pandemic : State Telehealth Policies and Buprenorphine.
J Gen Intern Med
November 2024
Program for Addiction Research, Clinical Care, Knowledge and Advocacy, Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, USA.
Importance: State policies facilitating telehealth implemented early in COVID may support buprenorphine treatment of opioid use disorder. However, little empirical information is available about those policies' effects.
Objective: Examine association between state policies that may facilitate telehealth use and buprenorphine treatment.
Association of licensure and relationship requirement waivers with out-of-state tele-mental health care, 2019-2021.
Health Aff Sch
April 2024
Addiction Center, Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI 48109, United States.
During the COVID-19 public health emergency, states waived in-state licensure and pre-existing patient-physician relationship requirements to increase access to care. We exploit this state telehealth policy variation to estimate the association of in-state licensure requirement waivers and pre-existing patient-physician relationship requirement waivers with out-of-state tele-mental health care utilization of patients diagnosed with COVID-19. Using claims from January 2019 until December 2021 of 2 037 977 commercially insured individuals in 3 metropolitan statistical areas (MSAs) straddling Midwestern state borders, we found increased out-of-state telehealth utilization as a share of out-of-state mental health care by 0.
View Article and Find Full Text PDFSocial Work Interstate Compact Legislation: Points for Analysis and Advocacy.
Soc Work
June 2024
Joseph Herzog, PhD, LICSW, is professor, University of West Florida, Pensacola, FL, USA.
Nurses' Perceptions of Licensure Compact Legislation to Facilitate Interstate Practice: Results From the 2022 Michigan Nurses' Study.
Policy Polit Nurs Pract
February 2024
Center for Improving Patient and Population Health, University of Michigan, Ann Arbor, MI, USA.
States are struggling to assure an adequate number of registered nurses are active in the clinical workforce to serve patients and communities. Nurse compact legislation-enacted in 39 states-facilitates interstate recognition of nurse licensure. We used a cross-sectional email survey of registered nurses in Michigan to measure their opinions on compact licensure legislation and examined differences in compact licensure opinions by nurses' personal characteristics.
View Article and Find Full Text PDFPerceived barriers, recommendations, and resources for multistate licensure in the United States: A mixed-methods study of laboratory genetic counselors.
J Genet Couns
October 2024
Quest Diagnostics, Secaucus, New Jersey, USA.
With genetic counselor licensure now available in 32 states, the number of laboratory genetic counselors (LGCs) who are required to be licensed in multiple states has risen substantially. Although previous studies have documented the complexity of the multistate licensing (MSL) process, there has been little research on the experiences of LGCs applying for and maintaining licensure. The purpose of this study was to identify perceived barriers, recommendations, and resources for LGCs pursuing MSL.
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