NOTE: On this page, we are pleased to share some of our telepsychiatry expertise with those psychiatrists that we do not insure.  If you are not insured through PRMS, please do not rely on this information as more than one company’s risk management thoughts.  Nothing presented here is legal advice.  You should check with your own risk managers. 


Federal telemedicine flexibilities for prescribing controlled substances (waiving the in-person visit requirement and waiving the requirement for a DEA registration in the patient’s state if different from the prescriber’s state) continue to be waived, at least until November 11, 2023.

BUT… states may have their own requirements for in-person visits that are separate from federal law and may be back in effect now.

The COVID public health emergency ended on May 11, 2023.

February 24th, the DEA proposed two new regulations affecting prescribing controlled substances via telemedicine – one general rule for prescribing without an in-person visit, and one rule specific to buprenorphine.  For more information, click here for more information, and see the DEA’s Telemedicine Rules Summary.pdf ( and highlights for practitioners

Click here to see an article by the law firm of Foley & Lardner going into more detail.


Unfortunately, it is not true.  There was a federal Omnibus law passed in December that did extend SOME of the waivers, but ONLY THOSE RELATED TO MEDICARE.  Specifically, the Center for Connected Health Policy has an excellent report detailing:

> Which Medicare-related telemedicine flexibilities:

- Become permanent,

- Remain in place on a temporary basis until December 31, 2024, or

- Remain in place until the end of the calendar year in which the PHE ends  

> Other flexibilities unrelated to Medicare that will end immediately once the PHE ends:

- HHS Office of Civil Rights’ enforcement discretion relating to telemedicine platforms that are not HIPAA-compliant, and

- The exception to the one-visit prior to prescribing controlled substances under the Ryan Haight Act



  1. Mental Health Practice in a Digital World: A Clinicians Guide, 2015, edited by Dewan et al
    Chapter 8:  An Overview of Practicing High Quality Telepsychiatry (Vanderpool)
    Publisher: Springer,, 212 460 1500
    ISBN 978-3-319-14109-1
  1. Psychoanalysis Online 2: Impact of Technology on Development, Training, and Therapy, 2015, edited by Scharff
    Chapter 8:  Legal Aspects of Teleanalyisis in the United States (Vanderpool)
    Publisher: Karnac,
    ISBN 978-1-78220-321-6
  1. Malpractice and Liability in Psychiatry, 2022, edited by Ash et al
    Chapter 4. Professional Liability Insurance (Vanderpool)
    Chapter 6. Do’s and Don’ts After an Adverse Event (Cash)
    Publisher: Springer,, 212 460 1500
    ISBN 978-3-030-91974-0
  1. The American Psychiatric Association Publishing Textbook of Suicide Risk Assessment and Management, Third Edition, 2020, edited by Gold and Frierson
    Chapter 27. Suicide Risk Management: Mitigating Professional Liability (Vanderpool)
    Publisher: APPI,, 800-368-5777
    ISBN 978-1-61537-223-2
  1. The American Psychiatric Association Publishing Textbook of Forensic Psychiatry, Third Edition, 2018, edited by Gold and Frierson
    Chapter 12. Professional Liability in Psychiatric Practice (Vanderpool)
    Publisher: APPI,, 800-368-5777
    ISBN 978-1-61537-067-2
  1. Gun Violence and Mental Illness, 2015, edited by Gold and Simon
    Chapter 13:  Relief from Disabilities: Firearm Rights Restoration for Persons Under Mental Health Prohibitions (Vanderpool and Gold)
    Publisher: APPI,, 800-368-5777
    ISBN 978-1-58562-498-0
  1. Oxford Textbook of Correctional Psychiatry, 2015, edited by Trestman et al
    Chapter 61: Forensic Issues (Vanderpool and Roskes)
    Publisher: Oxford University Press,, 800-624-0153
    ISBN 978-0-19936-057-4
  1. Clinical Guide to Mental Disability Evaluations, 2013, edited by Gold and Vanderpool
    Chapter 2:  Legal and Ethical Issues in Providing Mental Health Disability Evaluations (Vanderpool)
    Publisher: Springer,, 212 460 1500
    ISBN 978-1-4614-5447-2
  1. Ethical Issues in Forensic Psychiatry: Minimizing Harm, 2011, edited by Sadoff
    Chapter 13:  Risks of Harm to the Forensic Expert:  The Legal Perspective (Vanderpool)
    Publisher: Wiley,
    ISBN 978-0-470-67013-2