Amendment ID: S2202-111

Amendment 111

Integration of Telemedicine

Messrs. Lesser, Lewis, Feeney, Eldridge, Fattman and Barrett, Ms. Gobi and Mr. O'Connor move to amend the bill by:-

Striking the word “interactive” in section 43, in line 705, and inserting in place thereof the words: “synchronous or asynchronous”;

And in section 43 in line 706-707 by striking the words “provided, however, that “telemedicine” shall not include audio-only telephone, facsimile machine, online questionnaire, texting or text-only e-mail.” And inserting in place thereof the words “provided, however, that “telemedicine” shall not include audio-only telephone and facsimile communications.

And in section 43 in line 714, after the word “review”, by striking the following “, including preauthorization,”;

And in section 43, in line 731, by striking the word “telemedicine;

And in section 75, in line 1138, by inserting after the words “use of” the words: “synchronous or asynchronous”;

And in section 75 in lines 1140-1141 by striking the words “provided, however, that “telemedicine” shall not include audio-only telephone, facsimile machine, online questionnaire, texting or text-only e-mail.” And inserting in place thereof the words: “provided, however, that “telemedicine” shall not include audio-only telephone and facsimile communications.”

And in section 94, in line 1477, by striking the word “interactive” and inserting in place thereof the words” “synchronous or asynchronous”;

And in section 94, in lines 1478-1479 by striking the words “provided, however, that “telemedicine” shall not include audio-only telephone, facsimile machine, online questionnaire, texting or text-only e-mail.” And inserting in place thereof the words: “provided, however, that “telemedicine” shall not include audio-only telephone and facsimile communications.”

And in section 94 in line 1484, after the word “review” by striking the following “, including preauthorization,”;

And in section 94, in line 1502, by striking the word “telemedicine”;

And in section 96, in line 1522, by striking the word “interactive” and inserting in place thereof the words: “synchronous or asynchronous”;

And in section 96, in lines 1523-1524 by striking the words “provided, however, that “telemedicine” shall not include audio-only telephone, facsimile machine, online questionnaire, texting or text-only e-mail.” And inserting in place thereof the words: “provided, however, that “telemedicine” shall not include audio-only telephone and facsimile communications.”

And in section 96 in line 1533, after the word “review” by striking the following “, including preauthorization,”;

And in section 96 in line 1551, by striking the word “telemedicine”;

And in section 98, in line 1585, by striking the word “interactive” and inserting in place thereof the words: “synchronous or asynchronous”;

And in section 98, in lines 1586-1587 by striking the words “provided, however, that “telemedicine” shall not include audio-only telephone, facsimile machine, online questionnaire, texting or text-only e-mail.” And inserting in place thereof the words: “provided, however, that “telemedicine” shall not include audio-only telephone and facsimile communications.

And in section 98 in line 1594, after the word “review” by striking the following “, including preauthorization,”;

And in section 98 in line 1610, by striking the word “telemedicine”;

And in section 99, in line 1635, by striking the word “interactive” and inserting in place thereof the words: “synchronous or asynchronous”;

And in section 99, in lines 1636-1637 by striking the words “provided, however, that “telemedicine” shall not include audio-only telephone, facsimile machine, online questionnaire, texting or text-only e-mail.” And inserting in place thereof the words: “provided, however, that “telemedicine” shall not include audio-only telephone and facsimile communications.

And in section 99 in line 1643, after the word “review” by striking the following “, including preauthorization,”;

And in section 99 in line 1658, by striking the word “telemedicine”;

And in section 100, in line 1682, by striking the word “interactive” and inserting in place thereof the words: “synchronous or asynchronous”;

And in section 100, in lines 1684-1685 by striking the words “provided, however, that “telemedicine” shall not include audio-only telephone, facsimile machine, online questionnaire, texting or text-only e-mail.” And inserting in place thereof the words: “provided, however, that “telemedicine” shall not include audio-only telephone and facsimile communications.

And in section 100 in line 1691, after word “review” by striking the following “, including preauthorization,”;

And in section 100 in line 1706, by striking the word “telemedicine”;

And in section 101, in line 1724, by striking the word “interactive” and inserting in place thereof the words: “synchronous or asynchronous”;

And in section 101, in lines 1725-1726 by striking the words “provided, however, that “telemedicine” shall not include audio-only telephone, facsimile machine, online questionnaire, texting or text-only e-mail.” And inserting in place thereof the words: “provided, however, that “telemedicine” shall not include audio-only telephone and facsimile communications.”

And in section 101, in line 1732, after the word “review” by striking the following “, including preauthorization,”.

And in section 101 in line 1749, by striking the word “telemedicine”.

And in section in line 2304, by inserting after the word “services.” the following paragraph:

The Department and the Office, working in conjunction with the board of registration in Medicine, shall promulgate regulations regarding the appropriate use of telemedicine to provide health care services. These regulations shall provide for and include, but shall not be  limited to: (i) prescribing medications; (ii) services that are not appropriate to provide through telemedicine; (iii) establishing a patient-provider relationship; (iv) consumer protections; and (v) ensuring that services comply with appropriate standards of care.

And in section 117, in line 2305, by striking the word “interactive” and inserting in place thereof the words: “synchronous or asynchronous”.

And in section 117, in lines 2307-2308 by striking the words “provided, however, that “telemedicine” shall not include audio-only telephone, facsimile machine, online questionnaire, texting or text-only e-mail.” And inserting in place thereof the words: “provided, however, that “telemedicine” shall not include audio-only telephone and facsimile communications.