HARRISBURG – The Senate today approved legislation that promotes telemedicine as a way to overcome barriers to quality patient care created by distance and reduce the costs of those services, according to Senator Dan Laughlin (R-Erie) who voted for the bill.
Telemedicine is a rapidly growing component of health care, and many health care professionals and hospitals in Pennsylvania are already providing services via telemedicine. However, currently none of the health care professionals’ licensure acts explicitly authorize or regulate practice via telemedicine.
Senate Bill 705 specifically defines “telemedicine” as “the delivery of health care services provided through telecommunications technology to a patient by a health care practitioner who is at a different location,” and allows anyone with a medical license or otherwise regulated by Pennsylvania law to provide telemedicine services. Each of Pennsylvania’s licensure boards will develop regulations within the scope of practice and standard of care, with the rules taking into consideration model policies and clinical guidelines for appropriate use of telemedicine, as well as providing for patient privacy and data security standards compliant with federal and state law.
In Pennsylvania, many health insurers already provide coverage for some form of telemedicine, but coverage varies by location and health care service. Forty states have statutes that require private insurers to cover telemedicine in the same way they cover in-person health care services. All 50 states’ Medicaid programs cover some health care services delivered via telemedicine, and Pennsylvania’s Medicaid program, known as Medical Assistance, has been reimbursing for some health care services via telemedicine since at least 2007.
Senate Bill 705 provides clarity regarding insurance company reimbursement for telemedicine services, requiring a health insurance policy to provide coverage for medically necessary telemedicine delivered by a provider who delivers a covered service via telemedicine consistent with the insurer’s medical policies. The legislation prohibits a health insurance policy from excluding a health care service for coverage solely because the service is provided through telemedicine, and stipulates payment for covered services provided via telemedicine shall be negotiated between the provider and health insurer, with those agreements to be filed with and subject to state Department of Health review.
Through the use of telemedicine, specialists and other health care providers are able to expand their reach, helping COVID-19 patients, high-risk patients, stay-in-home patients, and rural patients who would have the ability to stay in their communities, avoiding long-distance travel for specialized care.
The legislation now heads to the state House of Representatives for consideration.
Contact: Matt Azeles firstname.lastname@example.org