Trends in Telehealth highlights state legislative and regulatory developments that affect healthcare providers, telehealth and digital health companies, pharmacists and technology companies that deliver and facilitate virtual care.

Last week’s trend:

  • Professional standards
  • Compensation requirements
  • Interstate compacts

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Legislation and rule making were finalized.

  • Connecticut Implemented HB 5197which implements the Social Work Licensing Compact.
  • South Carolina Implemented H 5183which includes a representative list of nursing tasks that may be delegated to unlicensed support personnel by a physician, physician assistant, or advanced practice registered nurse, including performing nonclinical tasks via telemedicine. to give.
  • South Carolina Also implemented S 610which implements the Counseling Compact.
  • gave Wisconsin Psychology Examining Board Amended its rules To bring them into alignment with the state’s establishment as members of the Psychology Interjurisdictional Compact. Specifically, it provides the adopted rule that standards of practice and professional conduct apply to both telehealth and telepsychology services.

Legislative and rulemaking activity in the proposal stage

Highlights:

  • I California, AB 2339 Passed the first chamber. The bill would expand existing Medi-Cal definitions and exceptions that currently limit the establishment of new patient relationships through telehealth. Specifically, the bill authorizes the use of asynchronous telehealth methods for sensitive services or to establish a new patient relationship upon request by the patient. For purposes of Medi-Cal, the bill expands the definition of “asynchronous store and forward” to include asynchronous electronic transmissions initiated directly by patients, including through mobile telephone applications. through.
  • I Illinois, HB 5087 Passed through another chamber. This bill would amend the Illinois Physical Therapy Act to provide that physical therapy through telehealth services may be used to address issues of access to care, enhance care delivery or improve patient performance in the patient’s own environment. can be done to enhance the physical therapist’s ability to evaluate and direct The bill also provides that physical therapists or physical therapist assistants working under the general supervision of a physical therapist may provide physical therapy through telehealth services, subject to certain restrictions.
  • I Illinois, SB 2586 Also passed through the second chamber. This bill would amend the Illinois Dental Practice Act to include teledentistry in the definition of patient evaluation and treatment planning services. The bill also provides standards of practice by which a dentist may practice teledentistry, including that a dentist may only practice or use teledentistry on a patient of record. and requires the dentist to obtain informed consent from the patient before offering telemedicine services.
  • I Ohio, SB 95 Passed the first chamber. The bill would allow remote dispensing pharmacies to dispense medications, consult patients and provide care to other pharmacists through a telepharmacy system. The bill also specifies the requirements for a pharmacy to be eligible to operate as a remote dispensing pharmacy.
  • I pennsylvania, SB 739 Passed the first chamber. The bill would amend Title 40 (Insurance) of the Pennsylvania Consolidated Statutes to allow telemedicine for health care providers in Medicaid and Children’s Health Insurance Program (CHIP) managed care plans. Be compensated for cover services rendered, as defined. Includes synchronous and asynchronous interactions and remote patient monitoring.
  • gave Tennessee Board of Optometry proposed a rule To update the practice standards by which optometrists may provide telehealth services.
  • Several states saw activity related to interstate compacts.
    • I New Hampshire, SB 218which will implement the Social Work Compact, has passed both chambers.
    • I Rhode Island, SB 2184which will implement the Social Work Licensure Compact, passed the first chamber.
    • I California, AB 2566which will enact the Counseling Compact, passed the First Chamber.
    • I Rhode Island, SB 2183which will implement the Counseling Compact previously approved by the Chamber.
    • I California, AB 2051which will implement the Psychology Interjurisdictional Compact that first passed the Chamber.

Why this is important:

  • States continue to modify and define professional practice standards for telehealth. States continue to propose, adopt, and revise standards that govern the practice of telehealth in various medical professions. South Carolina HB 5183 recognizes that certain nursing functions can be performed via telemedicine, while Illinois HB 1087 and SB 2586 seek to amend the professional practice standards by which physical therapists and dentists Can provide telehealth services. In addition, Ohio SB 95 would set the stage for the operation of remote dispensing pharmacies through telepharmacy systems.
  • States continue to evaluate coverage and reimbursement for telehealth delivery of care. Proposals in Pennsylvania and California are examples of state efforts to promote access to telehealth by requiring Medicaid coverage of telehealth services. California AB 2339 seeks to provide more flexibility for Medicaid patients by allowing providers to establish new Medi-Cal patients via telehealth under certain circumstances. In addition to requiring Medicaid coverage, Pennsylvania SB 739 requires health insurance policies to cover medically necessary health care provided by telemedicine and provided by a participating network provider. Coverage should be provided for services.
  • States continue to increase activity around licensure compacts for multiple health professionals. These state efforts reduce the burden of the licensing process and express a desire to facilitate multidisciplinary practice without relinquishing authority over occupational licensure. This week, states advanced bills related to interstate compacts for the practice of social work, counseling, and psychology.

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