WISAM On-Demand Recordings
On July 15, 2020, a final rule revising the federal regulations governing the Confidentiality of Substance Use Disorder Patient Records, 42 CFR Part 2 (Part 2), was released by the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services. The rule will go into effect on August 14, 2020. A SAMHSA fact sheet outlining the changes is here and the final rule here.
Between the time the Part 2 proposed rule was released and the final rule was promulgated, Congress included legislation to align 42 CFR Part 2 with HIPAA for the purpose of treatment, payment and operations in section 3221 of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act). The legislation was originally introduced in the Senate by Senators Joe Manchin (D-WV) Shelley Moore Capito (R-WV) in the Protecting Jessica Grubb’s Legacy Act, and in the House by Representatives Earl Blumenauer (D-OR) and Markwayne Mullin (R-OK) in the Overdose Prevention and Patient Safety Act.
The CARES Act became law on March 27, 2020. SAMHSA will need to release new regulations to implement the law, which are required no earlier than March 27, 2021. The SAMHSA regulations going into effect on August 14, 2020 do not include provisions from the CARES Act.
Open Record: Telehealth Trends | By Amanda St. Hilaire | Fox 6 Milwaukee
"We all know the coronavirus has changed so much in our day-to-day lives and that includes our health care. Many people have shifted to seeing doctors and various specialists virtually. Telemedicine numbers have never been higher and experts say how we're treated by medical professionals could potentially be changed forever. In this episode of Open Record, FOX6 Investigator Amanda St. Hilaire shares a recent conversation she had with the medical director of Addiction Services at Ascension Wisconsin All Saints.
David Galbis-Reig is also the president of the Wisconsin Society of Addiction Medicine. Amanda and David dive into an issue affecting everyone: How your health care has evolved in the era of COVID-19. One of the main topics of their conversation revolves around addiction -- from opioids to methadone."
Listen to the full story here.
The Wisconsin Department of Health Services (DHS) hosted all-inclusive webinars last week to engage providers, provider associations, members, and member advocates in telehealth expansion. These webinars provided an overview of the telehealth expansion project and gathered input on permanent telehealth policy.
Wisconsin Health News
A $2 million federal grant will help support the state’s behavioral health response to the COVID-19 pandemic, the Department of Health Services said Wednesday.
DHS is partnering with seven counties identified as having the greatest need for behavioral health services relative to the COVID-19 pandemic. The counties are:
They’ll use it to develop programs to help those facing the greatest challenges during the pandemic. That could include addressing barriers to care, expanding services for those experiencing or at risk of homelessness and enhancing supports for foster care families.
Other efforts include providing telehealth, substance-free housing, safe spaces for residential use treatment and peer specialists.
Mental Health America of Wisconsin is getting $48,016 to provide treatment services to healthcare workers through telehealth. And Behavioral Consulting Services is getting $58,203 to provide treatment and recovery support to staff at long-term care facilities.
Gov. Tony Evers issued an emergency order on Thursday mandating that Wisconsinites wear masks when indoors starting Saturday.
Evers issued the order by declaring a public health emergency. It’s the second public health emergency he’s declared during the pandemic.
Under the order, which expires Sept. 28, Wisconsinites over the age of 5 will have to wear a face covering when indoors or in an enclosed space if they’re around people who aren’t members of their household or living unit. The order doesn’t apply to private residences.
Face coverings will be recommended when outdoors.
Evers said that local health departments “have been doing a heck of a job” responding to the pandemic, but there needs to be a statewide approach to fighting the virus.
“While I know emotions are high when it comes to wearing face coverings in public, my job as governor is to put people first and to do what’s best for the people of our state, so that’s what I am going to do,” Evers said.
View the full article here.
As states reopen, many small and medium-sized healthcare and other businesses are struggling to sift through all the evolving guidance to create comprehensive, user-friendly return-to-work plans. Yet, having a thoughtful plan in place is critical to controlling the spread of COVID-19 as you increase activity in your workplace and mitigating liability should employee complaints arise.
Badger Bay is pleased to announce that we have partnered with premier law firm Husch Blackwell LLP to offer members a special discount on an easy, quick, and affordable tool that your members can use to create customized Return-to-Work policies. Husch Blackwell’s new Return-to-Work Policy Generator enables businesses of all sizes to quickly create return-to-work plans, customized to their operations, without starting from scratch. Built-in are Husch Blackwell’s knowledge of health, safety and employment issues, and extensive experience helping clients navigate the COVID-19 crisis.
The tool involves a 15-minute secure online questionnaire to learn about each company’s operations and policy needs. It generates a customized policy, which an attorney works to finalize directly with the company through an included consultation. Most policies are ready within a few business days.
Through the tool, Husch Blackwell offers each policy for a flat-fee price quoted up-front based on the complexity of each company’s operations and needs. Members of your associations can enter a referral code (“BadgerBay”) while completing the questionnaire to obtain an additional 10% discount.
To learn more, see a demo, and try the tool, visit the Return-to-Work Policy Generator here.
What does it involve?
This is great for lots of companies…
What’s special here?
The Department of Health Services said Wednesday that suspected opioid overdoses are up 117 percent since the start of the COVID-19 pandemic compared to the same time in 2019.
Preliminary data show 325 suspected opioid overdoses from March to July 13, compared to 150 suspected overdoses during the same time in 2019.
Paul Krupski, DHS director of opioid initiatives, said the pandemic has increased stress and anxiety.
“For individuals who have struggled with substance abuse and may currently be in treatment for that, this adds an extra layer to the challenges,” Krupski told reporters. “What we’re really trying to stress is to make sure that they know that there are healthy ways to cope with it. There are ways to make sure they continue down their path of recovery.”
According to a DHS statement, calls to 211 Wisconsin that include request for information on behavioral health have also increased. Under additional funding from DHS, specialists with the Addiction Recovery Helpline are now able to follow up with people asking for help.
The department has launched its Resilient Wisconsin campaign during the pandemic, which promotes healthy ways of dealing with stress and trauma. Program Manager Robin Matthies, said the pandemic has increased anxiety.
“It’s just really important that folks are paying attention to how they feel and to how people they care about might be doing,” Matthies said.
Wearing a face mask, maintaining physical distancing and regular handwashing are the most effective ways to protect yourself, your family, your friends and your fellow Wisconsinites from becoming infected with COVID-19.1,2 It could still be more than a year before an effective vaccine is developed and new therapies are still being studied for their safety and effectiveness.3 The spread of COVID-19 and the duration of the pandemic did not end with the lockdowns. The reopening of our economy should not be confused as a return to normalcy—the pandemic is not behind us.
Read the full letter here.
As some of you may already be aware, both the US House of Representatives and the US Senate have introduced complimentary Bipartisan Legislation that would create a new and permanent audio-visual telehealth exception to the Ryan Haight Act's in-person exam requirement and clarify Medicare'a continued ability, beyond the COVID-19 emergency, to reimburse for audio-only SUD services after an in-person or Telehealth evaluation. The proposed legislation is know as the TREATS Act.
In response, the American Society of Addiction Medicine has built out the action alert (linked below) which I encourage you to use if you want to voice support for this legislation on the Hill.
Feel free to share with others.
David Galbis-Reig, M.D., DFASAM
ASAM has hired Historical Research Associates to write a history of our organization. HRA’s team is building on the many wonderful materials gathered and historical narratives drafted by a number of our past and present members. We’re asking our members to look into their personal collections to see if they possess pre-1990: photographs (with dates and captions) , personal papers (notes, minutes, communiques, awards, letters, etc.), and any other materials related to the society and its chapters. If you have items you’d like to share, please email it to email@example.com.
Please share these details with anyone you know who may be able to assist in the collection of these historical items. Thank you!