Amendment ID: S2769-35

Amendment 35

Telehealth across state-lines

Messrs. Tarr and O'Connor move that the proposed new draft be amended by inserting after subsection (f) in SECTION 3 the following new subsection: "(g)“Unless specifically prohibited or limited by federal law, a health care provider who establishes a provider patient relationship, regardless of whether or not  the telehealth provider  has  previously  conducted  an  in person  examination  or  consultation  or  is conducting  a  new  patient  examination  or  consultation,  with  a  patient  in  this  state  may remotely  provide  health  care  services  to  a  patient  through  the  use  of  telemedicine  at  an appropriate  site  for  both  the  provider  and  patient  and  in  compliance  with  HIPAA.  Such provider must have an active unencumbered license for a health care profession which is issued by another state, the District of Columbia, or a possession or territory of the United States  and have  never  been  subject  to  discipline  by  a  licensing  agency  in  any  state  or federal  jurisdiction  and  never  had  their  license  or  permit  for  controlled  substances suspended  or  revoked.  Such providers must register with the relevant state agency and only offer clinically appropriate, medically necessary services. An insurer shall provide coverage for such services and the reimbursement rates for the service shall not be more than for the same services delivered in-person and shall be determined between insurers and providers.”

moves to further amend by inserting after subsection (f) in SECTION 49 the following new subsection: "(g)“Unless specifically prohibited or limited by federal law, a health care provider who establishes a provider patient relationship, regardless of whether or not  the telehealth provider  has  previously  conducted  an  in person  examination  or  consultation  or  is conducting  a  new  patient  examination  or  consultation,  with  a  patient  in  this  state  may remotely  provide  health  care  services  to  a  patient  through  the  use  of  telemedicine  at  an appropriate  site  for  both  the  provider  and  patient  and  in  compliance  with  HIPAA.  Such provider must have an active unencumbered license for a health care profession which is issued by another state, the District of Columbia, or a possession or territory of the United States  and have  never  been  subject  to  discipline  by  a  licensing  agency  in  any  state  or federal  jurisdiction  and  never  had  their  license  or  permit  for  controlled  substances suspended  or  revoked.  Such providers must register with the relevant state agency and only offer clinically appropriate, medically necessary services. An insurer shall provide coverage for such services and the reimbursement rates for the service shall not be more than for the same services delivered in-person and shall be determined between insurers and providers.”

moves to further amend by inserting after subsection (f) in SECTION 52 the following new subsection: "(g)“Unless specifically prohibited or limited by federal law, a health care provider who establishes a provider patient relationship, regardless of whether or not  the telehealth provider  has  previously  conducted  an  in person  examination  or  consultation  or  is conducting  a  new  patient  examination  or  consultation,  with  a  patient  in  this  state  may remotely  provide  health  care  services  to  a  patient  through  the  use  of  telemedicine  at  an appropriate  site  for  both  the  provider  and  patient  and  in  compliance  with  HIPAA.  Such provider must have an active unencumbered license for a health care profession which is issued by another state, the District of Columbia, or a possession or territory of the United States  and have  never  been  subject  to  discipline  by  a  licensing  agency  in  any  state  or federal  jurisdiction  and  never  had  their  license  or  permit  for  controlled  substances suspended  or  revoked.  Such providers must register with the relevant state agency and only offer clinically appropriate, medically necessary services. An insurer shall provide coverage for such services and the reimbursement rates for the service shall not be more than for the same services delivered in-person and shall be determined between insurers and providers.”

moves to further amend by inserting after subsection (f) in SECTION 53 the following new subsection: "(g)“Unless specifically prohibited or limited by federal law, a health care provider who establishes a provider patient relationship, regardless of whether or not  the telehealth provider  has  previously  conducted  an  in person  examination  or  consultation  or  is conducting  a  new  patient  examination  or  consultation,  with  a  patient  in  this  state  may remotely  provide  health  care  services  to  a  patient  through  the  use  of  telemedicine  at  an appropriate  site  for  both  the  provider  and  patient  and  in  compliance  with  HIPAA.  Such provider must have an active unencumbered license for a health care profession which is issued by another state, the District of Columbia, or a possession or territory of the United States  and have  never  been  subject  to  discipline  by  a  licensing  agency  in  any  state  or federal  jurisdiction  and  never  had  their  license  or  permit  for  controlled  substances suspended  or  revoked.  Such providers must register with the relevant state agency and only offer clinically appropriate, medically necessary services. An insurer shall provide coverage for such services and the reimbursement rates for the service shall not be more than for the same services delivered in-person and shall be determined between insurers and providers.”

moves to further amend by inserting after subsection (f) in SECTION 54 the following new subsection: "(g)“Unless specifically prohibited or limited by federal law, a health care provider who establishes a provider patient relationship, regardless of whether or not  the telehealth provider  has  previously  conducted  an  in person  examination  or  consultation  or  is conducting  a  new  patient  examination  or  consultation,  with  a  patient  in  this  state  may remotely  provide  health  care  services  to  a  patient  through  the  use  of  telemedicine  at  an appropriate  site  for  both  the  provider  and  patient  and  in  compliance  with  HIPAA.  Such provider must have an active unencumbered license for a health care profession which is issued by another state, the District of Columbia, or a possession or territory of the United States  and have  never  been  subject  to  discipline  by  a  licensing  agency  in  any  state  or federal  jurisdiction  and  never  had  their  license  or  permit  for  controlled  substances suspended  or  revoked.  Such providers must register with the relevant state agency and only offer clinically appropriate, medically necessary services. An insurer shall provide coverage for such services and the reimbursement rates for the service shall not be more than for the same services delivered in-person and shall be determined between insurers and providers.”

moves to further amend by inserting after subsection (f) in SECTION 55 the following new subsection: "(g)“Unless specifically prohibited or limited by federal law, a health care provider who establishes a provider patient relationship, regardless of whether or not  the telehealth provider  has  previously  conducted  an  in person  examination  or  consultation  or  is conducting  a  new  patient  examination  or  consultation,  with  a  patient  in  this  state  may remotely  provide  health  care  services  to  a  patient  through  the  use  of  telemedicine  at  an appropriate  site  for  both  the  provider  and  patient  and  in  compliance  with  HIPAA.  Such provider must have an active unencumbered license for a health care profession which is issued by another state, the District of Columbia, or a possession or territory of the United States  and have  never  been  subject  to  discipline  by  a  licensing  agency  in  any  state  or federal  jurisdiction  and  never  had  their  license  or  permit  for  controlled  substances suspended  or  revoked.  Such providers must register with the relevant state agency and only offer clinically appropriate, medically necessary services. An insurer shall provide coverage for such services and the reimbursement rates for the service shall not be more than for the same services delivered in-person and shall be determined between insurers and providers.”

moves to further amend by inserting after subsection (f) in SECTION 56 the following new subsection: "(g)“Unless specifically prohibited or limited by federal law, a health care provider who establishes a provider patient relationship, regardless of whether or not  the telehealth provider  has  previously  conducted  an  in person  examination  or  consultation  or  is conducting  a  new  patient  examination  or  consultation,  with  a  patient  in  this  state  may remotely  provide  health  care  services  to  a  patient  through  the  use  of  telemedicine  at  an appropriate  site  for  both  the  provider  and  patient  and  in  compliance  with  HIPAA.  Such provider must have an active unencumbered license for a health care profession which is issued by another state, the District of Columbia, or a possession or territory of the United States  and have  never  been  subject  to  discipline  by  a  licensing  agency  in  any  state  or federal  jurisdiction  and  never  had  their  license  or  permit  for  controlled  substances suspended  or  revoked.  Such providers must register with the relevant state agency and only offer clinically appropriate, medically necessary services. An insurer shall provide coverage for such services and the reimbursement rates for the service shall not be more than for the same services delivered in-person and shall be determined between insurers and providers.”