Controlled Substances and List I Chemical Registration and Reregistration Fees
2011-08-02 2011-08-02 2011-09-06 2011-09-06 2011-09-06 2011-09-06 2011-09-06 2011-09-06 2011-09-06 2011-08-29
DEA-2011-0007-0007 DEA-2011-0007-0006 DEA-2011-0007-0175 DEA-2011-0007-0179 DEA-2011-0007-0167 DEA-2011-0007-0174 DEA-2011-0007-0184 DEA-2011-0007-0162 DEA-2011-0007-0160 DEA-2011-0007-0149
04:00:00 04:00:00 04:00:00 04:00:00 04:00:00 04:00:00 04:00:00 04:00:00 04:00:00 04:00:00
https://api.regulations.gov/v4/comments/DEA-2011-0007-0007 https://api.regulations.gov/v4/comments/DEA-2011-0007-0006 https://api.regulations.gov/v4/comments/DEA-2011-0007-0175 https://api.regulations.gov/v4/comments/DEA-2011-0007-0179 https://api.regulations.gov/v4/comments/DEA-2011-0007-0167 https://api.regulations.gov/v4/comments/DEA-2011-0007-0174 https://api.regulations.gov/v4/comments/DEA-2011-0007-0184 https://api.regulations.gov/v4/comments/DEA-2011-0007-0162 https://api.regulations.gov/v4/comments/DEA-2011-0007-0160 https://api.regulations.gov/v4/comments/DEA-2011-0007-0149
Kathleen Lee Kerri Marion Anna Colette Jeannine Kimberly Anonymous Victoria
Glass Holfelder Cook Alston Bovee Frena Hoshino Callahan Anonymous Tyra
I think the fee increase is not a great idea. Most practices have encountered losses in the past 2 years due to Medicare and Medicaid reimbursement cuts. In the area in which I work, we have a 75% Medicaid/Medicare population and we take care of patients most practitioners wont due to the insurance issues. I think instead, every practice who cannot provide proof of a 15% medicaid and at least a 30% Medicare patient population (both), should have thier rates increased for the rest of us who provide care to those without private insurance.With gas, food and everything else increasing, and reimbursements dwindling; this is not a good time to increase fees  for somethin which is mandatory for practice. I work as an NP in a non-profit, hospital based practice, covering three subacute rehab/LTC facilities.  I have received a cost-of-living increase or less increase annually because of the economy, not because of my performance.  The prescriptions I write are for long term care residents, patients at the end-of-life and post-op patients.  Neither I nor my practice have the financial where-withall to support increased DEA fees.  I think fees should be based on practice setting along with license to prescribe.  I do not make a six figure salary, nor do I anticipate making a six-figure salary in my lifetime.  I suggest the DEA review its licensing fees and adjust by practice and specialty. I am opposed to raising the cost of DEA application fees. The cost is just another barrier to NP practice. It will keep some NPs from being able to provide patients with prescriptions for controlled substances. This will prevent patients from getting adequate relief of symptoms in many cases. This proposal to raise fees for DEA number applications is a huge barrier to practice. I am a new NP and quite frankly cannot afford a $700 fee.Please reconsider raising the fee.  This fee is the most expensive that I am required to pay.  At present $550.00 every three years.  An increase in this rate will cause hardship on myself and other mid-level providers that must meet the requirement.  Please know that our salaries are not so large as to make this fee affordable.  Thank you for the consideration of what the fee increase will mean for us. I propose that the DEA application fees DO NOT increase for Nurse Practitioners I dont agree that the application fee for a DEA number should be raised for midlevel providers  I respectfully ask that you reconsider raising the rates for DEA licensure. To do so would place financial constraints and barriers to Nurse Practitioner practice. Nurse Practitioners fill vital gaps in underserved areas and populations. Many positions carry no provisions for reimbursement of necessary licensure and fees, leaving the Nurse Practitioners to absorb this cost on their own. Even if the cost were paid by a supervising physician, there might be a reluctance or inability to absorb the additional cost.Nurse Practitioners take their prescribing privileges very seriously. We are invested in our profession and the well being of our paitents. Please do not add unnecessary obstacles to providing care. This decision would have far-reaching implications. I am a certified nurse midwife in Indianapolis.  In order to practice full-scope care to my clients, I maintain an active DEA.  I do not receive any reimbursement or funding from my hospital or employer for this registration.  I believe this large of a fee increase is truly prohibitive to practice in the current environment of healthcare budget restrictions.     Increases in the cost of maintaining a DEA number were inevitable, however this increase in light of a decreasing cost of administration with electronic registration and the proliferation of EMRs with improved potential for monitoring, is excessive and unwarranted. At a time when our incomes are being cut from every angle, from reimbursement to administrative costs, this would seem ill advised. Please consider that in addition, there is a tremendous amount of wasteful spending in the unnecessary and burdonsome costs associated with prescriptive limitations placed on NPs and PAs. Eliminating some of this waste would decrease expenses for the DEA thereby providing moneys from the cost savings. Please consider your support of this measure carefully. Thank you for seeking feedback on this issue.