Key points

There may soon be a fourth extension of telehealth flexibilities.

As agencies work to create a new regulatory framework, providers are in limbo.

Telehealth care standards should be established and do not need to be inferior to in person care.

As we enter the final weeks of 2025, providers across the country are facing a familiar sense of uncertainty: will the temporary regulatory flexibilities that enabled broad telehealth access during the COVID-19 pandemic survive, or will we be forced back into pre-pandemic constraints?

Before the pandemic, under the Ryan Haight Online Pharmacy Consumer Protection Act (2008), providers were generally required to perform an in-person medical evaluation before prescribing controlled substances via telemedicine . But in March 2020, duri

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