Influence of State Telehealth Regulations on Treatment for Substance Use Disorders During the COVID-19 Crisis - Summary - MDSpire

Influence of State Telehealth Regulations on Treatment for Substance Use Disorders During the COVID-19 Crisis

  • By

  • Matthew D. Eisenberg

  • Kayla N. Tormohlen

  • Alexander D. McCourt

  • Jiani Yu

  • Raghavee Neupane

  • Yimin Ge

  • Elizabeth A. Stuart

  • Michael Fingerhood

  • Nicholas J. Seewald

  • Emma Elizabeth McGinty

  • April 17, 2026

  • 0 min

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Objective:

To evaluate the impact of state telemedicine policies on the initiation and continuation of substance use disorder (SUD) treatment during the COVID-19 pandemic (2020-2022).

Key Findings:
  • Telemedicine policies, including coverage parity, payment parity, and relationship waivers, were associated with increased initiation and continuation of SUD treatment.
  • The expansion of telemedicine during the pandemic was crucial for maintaining access to SUD treatment amidst healthcare disruptions.
Interpretation:

The findings suggest that state-level telemedicine policies can significantly enhance access to SUD treatment, particularly during crises like the COVID-19 pandemic, highlighting the need for sustained policy support.

Limitations:
  • The study focused only on fully insured commercial plans, potentially limiting generalizability to other insurance types and populations.
  • The analysis may not fully capture the nuances of individual patient experiences and barriers to telemedicine, such as privacy concerns and technology access.
Conclusion:

State telemedicine policies implemented during the COVID-19 pandemic played a vital role in facilitating SUD treatment, underscoring the need for ongoing evaluation and potential long-term adoption of these policies to ensure continued access.

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