Options for patients in ‘care deserts’ to remotely access gender-affirming care may soon dwindle.
Under the current proposed rule by the Drug Enforcement Administration , patients taking testosterone will need to meet with a licensed DEA doctor in person within six months if they want to stay on testosterone through telehealth. New testosterone prescriptions will also require in-person visits. The expiration does not affect the hormone estrogen.
In September 2022, Sens. Ed Markey and Elizabeth Warren asked the Biden administration to reconsider the classification of testosterone. A spokesperson for Markey said his office has yet to get a response on that request. Those providers are scrambling to find in-person appointments for patients before November of this year when the six-month grace period ends. FOLX Health sent an email to its members instructing them to trek to the closest Planned Parenthood clinic for in-person appointments.
On March 17, FOLX laid off 15 staffers out of 100 contract and full-time employees in anticipation of the rule. Steinle said the company is not at risk of folding but needed to downsize in anticipation of a cooler climate for venture startups as the economy begins to drag. Steinle said the company hoped that in providing critical care to transgender people, it would also be able to present irrefutable data that might make the temporary waiver permanent.
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