Trending in Telehealth: December 18, 2024 – January 6, 2025

Trending in Telehealth highlights state legislative and regulatory developments that impact the healthcare providers, telehealth and digital health companies, pharmacists, and technology companies that deliver and facilitate the delivery of virtual care.

Trending in the past weeks:

  • Reimbursement parity
  • Provider telehealth education

A CLOSER LOOK

Proposed Legislation & Rulemaking:

  • In Ohio, Senate Bill 95 passed both the House and Senate chambers. This bill will allow for remote pharmacy dispensing, as current state law prohibits the dispensing of a dangerous drug by a pharmacist through telehealth or virtual means.
  • In Oregon, the Oregon Health Authority, Health Systems Division: Medical Assistance Programs proposed rule amendments to clarify the telehealth rule definitions, including adding cross-references to established definitions in OAR 410-120-0000.
  • In New York, the Department of Public Health (DPH) proposed two new amendments to the Medicaid State Plan for non-institutional services:

Finalized Legislation & Rulemaking Activity:

  • In Illinois, an amendment to the Illinois Public Aid Code went into effect on January 1, 2025. Passed in June of 2024, Senate Bill 3268 provides that the Department of Human Services will pay negotiated, agreed-upon administrative fees associated with implementing telehealth services for persons with intellectual and developmental disabilities receiving Community Integrated Living Arrangement residential services.
  • Also in Illinois, an amendment to the Illinois Physical Therapy Act went into effect January 1, 2025. Passed in August of 2024, House Bill 5087 significantly limits the ability of physical therapists to provide telehealth services to patients in the state. For more information on the effects of this bill, please read our article discussing its implications.
  • In Kentucky, Senate Bill 111 went into effect January 1, 2025. This bill requires health benefit plans, limited health service benefit plans, Medicaid and state health plans to provide coverage for speech therapy provided via telehealth.
  • Missouri’s emergency rule amendments for virtual visit coverage under the Missouri Consolidated Health Care Plan took effect as of January 1, 2025. For more information on this bill, please see our related article from last month.
  • In New Jersey, Assembly Bill 3853 was signed into law by the governor. The legislation extends certain pay parity regarding telemedicine and telehealth until July 1, 2026, meaning that New Jersey health plans shall reimburse telehealth and telemedicine services at the same [...]

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Trending in Telehealth: November 26 – December 10, 2024

Trending in Telehealth highlights state legislative and regulatory developments that impact the healthcare providers, telehealth and digital health companies, pharmacists, and technology companies that deliver and facilitate the delivery of virtual care.

Trending in the past two weeks:

  • Behavioral and mental telehealth
  • Coverage and payment parity

A CLOSER LOOK

Proposed Legislation & Rulemaking:

  • In Illinois, HB 4475 gained another co-sponsor. If adopted, the bill would provide that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2025, or any third-party administrator administering the behavioral health benefits for the insurer, must cover all out-of-network medically necessary mental health and substance use benefits and services (inpatient and outpatient) as if they were in-network for purposes of cost sharing for the insured. The bill specifically provides that the insured has the right to select the provider or facility of their choice and the modality, whether the care is provided via in-person visit or telehealth, for medically necessary care. To date, the proposed legislation has passed the house chamber and committee.
  • In Washington, the Department of Health announced a proposed rule concerning certification standards for the new, voluntary certified peer specialist and trainee credentials created by passed SB 5555 (chapter 469, Laws of 2023) for behavioral health. The proposed rule would require a certified peer specialist who provides telehealth services to take the telehealth training as specified in WAC 246-929-340.

Finalized Legislation & Rulemaking Activity:

  • Missouri enacted several emergency rule amendments related to coverage under the Missouri Consolidated Health Care Plan, which provides coverage to employees and retirees of most state agencies, as well as public entities that have joined the plan. The amendments include revisions to coverage of virtual visits, non-network payments, the timing of other deposits to health savings accounts, and the right of the state plan to recoup certain deposits. Under the amendments, virtual visits offered through the vendor’s telehealth tool are covered at 100% after deductible is met unless Internal Revenue Service guidance permits them to be paid at 100% prior to deductible being met.

Why it matters:

  • Use of telehealth services for behavioral healthcare continues to grow. There has been a notable trend of telehealth modalities being adopted for mental health and substance abuse care. Legislative and regulatory activity is responding to this trend with increased access, as in the Illinois proposed legislation regarding telehealth coverage parity, and increased safeguards, such as the telehealth training requirements in the Washington proposed rule. This expansion of tele-behavioral health may increase access to mental health services for those in remote or underserved communities, and may increase convenience and flexibility, in turn promoting more consistent attendance and better treatment outcomes.
  • States are assessing the extent of insurance coverage and payment rates for telehealth services. Telehealth services continue to inspire debate regarding coverage parity (i.e., covering telehealth services to the [...]

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Trending in Telehealth: December 11 – December 17, 2024

Trending in Telehealth highlights state legislative and regulatory developments that impact the healthcare providers, telehealth and digital health companies, pharmacists, and technology companies that deliver and facilitate the delivery of virtual care.

Trending in the past week:

  • Licensure compacts
  • Telepharmacies
  • Telehealth practice standards

A CLOSER LOOK

Proposed Legislation & Rulemaking:

  • In Michigan, House Bill 4169 was referred to the second committee after passing the first chamber. The bill would enact the Interstate Occupational Therapy Licensure Compact in Michigan. The compact is designed to facilitate use of telehealth technology to increase access to occupational therapy services.
  • New York’s Assembly Bill 6799, which has passed both chambers, was delivered to the governor for review. The proposed legislation seeks to establish an education program for screening drug-induced movement disorders and specifically includes services provided via telehealth.
  • In Ohio, Senate Bill 95 passed the second chamber. If enacted, the legislation would provide an exception to current state law that prohibits pharmacists from dispensing dangerous drugs through telehealth or virtual means. Under state law, dangerous drugs include prescription medications, schedule V controlled substances, injectables, biological products, and drugs with certain mandatory federal caution labels. The proposed legislation would create an allowance for remote dispensing pharmacies, which dispense drugs, counsel patients, and provide other pharmacist care through a telepharmacy system. Telepharmacy is a system that monitors the dispensing of drugs and provides for related drug utilization review and patient counseling services via electronic means. The dispensing of drugs at a remote dispensing pharmacy may include the dispensing of drug-therapy-related devices.

Finalized Legislation & Rulemaking Activity:

  • In Delaware, the Board of Mental Health and Chemical Dependency Professionals final rule took effect, updating existing regulations that include telehealth practice standards. The board clarified that “face-to-face” services include both in-person and live video mental health counseling services. The board also removed the previous supervision requirement for counselor applicants that restricted the amount of supervision that could be credited for live video conferencing rather than in-person means.

Why it matters:

  • Interstate licensure compacts are progressively expanding. Michigan’s proposed legislation to join the Interstate Occupational Therapy Licensure Compact demonstrates states’ ongoing interest in compacts that enable healthcare professionals to practice across state lines. These compacts can expand access to qualified practitioners in underserved and rural areas, enhance career flexibility, and reduce the administrative burdens associated with applying for multiple state licenses.
  • States are adapting to the sustained significance of telehealth. Legislative and regulatory trends reflect a continued recognition that telehealth can be utilized for a wide variety of purposes, including provision of health services education (as in New York’s proposed bill) and supervisory training (as in Delaware’s final rule).

Telehealth is an important development in care delivery, but the regulatory patchwork is complicated. The McDermott Digital Health team works alongside the industry’s leading providers, payors, and technology innovators to help them enter new markets, break down barriers to delivering accessible care and [...]

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Trending in Telehealth: November 19 – 25, 2024

Trending in Telehealth highlights state legislative and regulatory developments that impact the healthcare providers, telehealth and digital health companies, pharmacists, and technology companies that deliver and facilitate the delivery of virtual care.

Trending in the past week:

  • Medical marijuana

A CLOSER LOOK

Finalized Legislation & Rulemaking:

  • In New York, the governor signed an act (A 8168) requiring Medicaid to provide remote ultrasound and remote fetal nonstress tests in certain circumstances.
  • In Massachusetts, the Massachusetts Cannabis Control Commission finalized amendments that permit patients to request a telehealth appointment for a patient’s initial visit to a provider. An initial visit conducted via telehealth must be synchronous and face-to-face. The adopted changes also permit certified providers to be out-of-state so long as the conditions for certification are met.

Why it matters:

  • Regulators continue to recognize telehealth as an effective care delivery method in new settings. Massachusetts’ decision to permit the use of telehealth to conduct a patient’s initial visit to a provider for a certificate of registration for medical marijuana and New York Medicaid coverage of remote ultrasounds and fetal nonstress tests reflects growing recognition by regulators that telehealth can be an effective care delivery method for a wide range of procedures and patients.

Telehealth is an important development in care delivery, but the regulatory patchwork is complicated. The McDermott Digital Health team works alongside the industry’s leading providers, payors and technology innovators to help them enter new markets, break down barriers to delivering accessible care and mitigate enforcement risk through proactive compliance.




Trending in Telehealth: November 12 – 19, 2024

Trending in Telehealth highlights state legislative and regulatory developments that impact the healthcare providers, telehealth and digital health companies, pharmacists, and technology companies that deliver and facilitate the delivery of virtual care.

Trending in the past week:

  • Veterinary services

A CLOSER LOOK

Proposed Legislation & Rulemaking:

  • In Florida, the Board of Veterinary Medicine proposed a rule that would require veterinarians to include a notation in the medical record if an examination was conducted by telehealth. The Board also proposed a set of guidelines that the Board must follow when imposing disciplinary penalties for violations of telehealth practice rules. The penalties include reprimand, suspension with administrative fines, and revocation of the individual’s license.
  • In New York, a bill requiring Medicaid to provide remote ultrasound procedures and remote fetal nonstress tests in certain circumstances passed the first house.

Why it matters:

  • Regulation of the use of telehealth in veterinary medicine continues to grow. Florida joins an increasing number of states beginning to develop regulations specifically related to the practice of veterinary medicine via telehealth. This emerging trend in the health industry regulation reflects the steady adoption of telehealth as a valuable care delivery modality across the full gambit of health services industries.

Telehealth is an important development in care delivery, but the regulatory patchwork is complicated. The McDermott Digital Health team works alongside the industry’s leading providers, payors and technology innovators to help them enter new markets, break down barriers to delivering accessible care and mitigate enforcement risk through proactive compliance.




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