Three more states have introduced legislation that either mandate telemedicine reimbursement by private payers or require providers to offer telemedicine to qualify for coverage.
For state-specific information, such as Medicaid coverage and reimbursement, please visit the ATA WIKI
or view ATA's Telemedicine State Legislation Matrix
SB 898, introduced by Senator Arthenia Joyner (D-19,) requires health insurers, including Medicaid, to provide coverage for telemedicine services; extends Medicaid telemedicine service coverage to home care; provides coverage under state plan or waiver for health home services provided to eligible individuals with chronic conditions; authorizes rules to allow consultation with certain out-of-state health care practitioners & professionals. The bill defines telemedicine services as the “delivery of health care services…synchronous video conferencing, remote patient monitoring, asynchronous health images, or other health transmissions supported by mobile devices (mHealth) or other telecommunications technology used for the purpose of diagnosis, consultation, or treatment at a site other than the site where the provider is located.
SB 175 requires health insurers to cover the diagnosis and treatment of autism for individuals under 19; requires reimbursement for services delivered by autism specialist via telehealth. HB 2317, introduced by Representative Arlen Siegfreid (R-121,) requires health insurers to cover the diagnosis and treatment of autism for individuals under 19; requires reimbursement for services delivered by autism specialist via telehealth.
- North Carolina
HB 105, introduced by Representatives Jim Fulghum (R-49,) Mark W. Hollo (R-73,) D. Craig Horn (R-68) and Paul Stam (R-37,) requires the use of pulse oximetry screening to detect congenital heart defects in newborns; authorizes future rulemaking to allow the use of telemedicine to ensure early treatment.
For a list of telehealth proposals in state legislatures, please visit the ATA wiki State Law page.
S 88, introduced by Senators Virginia Lyons (D-Chittenden,) Timothy Ashe (D/P-Chittenden,) Philip Baruth (D-Chittenden,) Christopher Bray (D-Addison,) Donald Collins (D-Franklin,) Sally Fox (D-Chittenden,) Richard McCormack (D-Windsor,) Kevin Mullin (R-Rutland,) Anthony Pollina (P/D/W-Washington) and David Zuckerman (P-Chittenden,) removes the requirement that telemedicine services be delivered in a health care facility to qualify for coverage.
H 272, introduced by Susan Wizowaty (D-Burlington,) would remove the requirement that telemedicine services be delivered in a health care facility to qualify for coverage.