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Since you've posted this in the YPM thread, it will get a lot of visits. However, I was thinking that you might take your very valuable post/information and start a new thread? Just a thought to reach more people here.

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I have a whole bunch of sound bites in a document. Indeed I plan to post them around more read forums here over the next few days. I hope this violation of board TOS can be overlooked given the seriousness of the situation.

You haven't noticed? I'm always repeating myself, Laura

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Does anybody know if NWW ever "came back" like they said they would?

Does anybody know of any of these ROPs that were shut down like this to "come back"?

I'm just curious. Seems like years ago Madison had some issues with the DEA but because they required the port-a-medic maybe they were not shut down-I can't say for sure.

Is YPM comes back I think it will be the first to so do-

can anybody remember another?

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There were supposed to be some good news last week...
Did anyone receive any good news?

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I have noticed and most of your posts are worth repeating LOL! Your post makes it so easy for people - just click your links, select their state and zip and voila! there is an email form to write their letter!

OT - I haven't seen an OCS come back from this type of thing before and if YPM comes back, I think it will be under a different name and a different way of doing business...same with some of the others that have become very silent lately...

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There were supposed to be some good news last week...
Did anyone receive any good news?

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Does anybody know if NWW ever "came back" like they said they would?

Does anybody know of any of these ROPs that were shut down like this to "come back"?

I'm just curious. Seems like years ago Madison had some issues with the DEA but because they required the port-a-medic maybe they were not shut down-I can't say for sure.

Is YPM comes back I think it will be the first to so do-

can anybody remember another?

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Doctor-Scripts had all their pharmacies shut down by the DEA in October I think. It took about a month but they are back up and running. Not the most reliable...but they are there. I think a lot of the places that have been shut down just pop up somewhere else under another name.

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The PA has more autonomy than a nurse practitioner

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Michigan NP

• General authority to prescribe is evidenced by inclusion on the prescription of the prescriber's title
• Authority to prescribe controlled substances includes Schedule III-V as outlined in the prescriber's collaborative prescriptive agreement
• Authority to prescribe controlled substances includes Schedule II only if practice is carried out within a hospital, surgicenter, or hospice
• Schedule II prescriptions are limited to 7-day postdischarge supply
• Prescriptions for scheduled drugs must show the name and DEA number of both the prescriber and the collaborating physician.
http://www.medscape.com/viewarticle/440315

As we know, NPs (and all nurses) do not have legal authority to prescribe/order medications. However, they may prescribe as a delegated function from a physician. If an NP writes an order for medication, the name of the delegating physician must be included on the order. An RN (non-NP) may accept an order written in this fashion.
http://www.minurses.org/apn/apn-npfaq.shtml#accessing />

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MICHIGAN PA

Qualifications: Graduation from accredited PA program and NCCPA examination.
Application: By PA for license.
Scope of practice: Medical care services delegated by the supervising physician, within the physician's usual scope of practice, and approved by the board.
Prescribing/dispensing: PA may prescribe non-controlled and Schedules III-V medications as delegated by supervising physician. PA may prescribe seven-day supply of Schedule II drugs as discharge medications. Supervising physician's and PA's names must be indicated on prescription. PA prescribers of controlled medications must register with the DEA.
Supervision: Physician must be continuously available for direct communication in person or by radio, telephone, or telecommunication and must regularly review PA performance and patient records, consult, and educate.
Participation in regulation: Five PAs serve on nine-member PA regulatory task force. Task force sends one PA to serve as member of medical board and one PA to serve on osteopathic board.
Michigan Task Force on Physician Assistants, Bureau of Health Professions, P.O. Box 30670, Lansing, MI 48909-7518; (517)335-0918.
www.michigan.gov/mdch

http://www.aapa.org/gandp/statelaw.html

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well, i have used ypm for about 2 yrs or for as long as they have been around, and I am going to my first suboxone appt tom to start taking it and getting off meds.

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Learn about the biggest threat which will drag on and on even if it passes. Identical House and Senate Bills which have widespread support because though they have no opposition.

Go to thomas.loc.gov

Look on the middle of the page for "Serch Bill Text"

Check the Radio Button for "Bill Number"

Search for either of these bills:

SB 242

HR 380

Acquaint yourself with what they are planning. You're hurting, you can argue many of those points that are important to use better than a lawyer.

SB 242 - The Senate Bill

HR 380 - House of Reprentative Bill
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2) Would these bills supercede state laws? Or does the bill allow states to create their own telemedicine regulations?

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You seem so knowledgable so I have two questions with regards to SB 242 and HR 380.

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Thank you Myroom for taking that up and thank you Mike for the compliment, but you're sure wrong Mike

I don't know anything about politics except I read portions of that bill elsewhere and it looked bad. I have some neurological disorders on top of other maladies and when they ask me the president questions, I really look like I'm out of it

Couldn't name the VP

Couldn't name the last 4 presidents, etc.

I was a bit more activist during a similar crisis in 2004 and took the gov't links from a site I set up.

I haven't been posting since I'm luckier than most. My OCS is still around, but I don't know about what will become refill time...

So I'm working my tail off while I still have some meds before one of my illnesses gets me. At least I'll have money owed me.

Like I said I'm a very lucky man in spite of everything.

Please publicize those links and how to reach your elected officials anywhere you can. I'll get to it as I can, but I simply took a few minutes out at the end of a v-e-r-y long day to see what the situation is in general.

I feel sorry for what must be hundreds of thousands of people suffering right now.

Thanks again all!

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Is this a YPM Thread ? ? ?

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Um… yep, it is indeed, sorry for the diversion.

Mia Culpa

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Thank you and thank you for posting your info again about these bills as the will KILL telemedicine and I can't believe that everyone here is not writing to their reps.

Ryan Haight - I remember all about that and I probably wasn't totally clear in my letter about the diff. between ROP's/NROP's/IOP's, etc. I did try to outline that there were differences between theses things and that Ryan did not use the ones we are concerned about and did try to show my reps that these ROP's are to be distinguished from what Ryan was doing and what the administration and lawmakers are doing by lumping all of them together as the same. I don't believe that the lawmakers have the slightest clue that there are differences and that just because something is done over the internet, it is not, therefore, evil.

Since you've posted this in the YPM thread, it will get a lot of visits. However, I was thinking that you might take your very valuable post/information and start a new thread? Just a thought to reach more people here.

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2) Would these bills supercede state laws? Or does the bill allow states to create their own telemedicine regulations?

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As with any federal regulation, states can impose their own additional criteria, restrictions, or requirements, provided they do not violate individuals' constitutionally established or protected rights.

It's key to remember that any issue pertaining to controlled substances is subject to further governance by DEA policy and the laws that provide for them, which are subject to their own interpretation and application thereof.

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