October Regulatory Update – This Month in Telehealth


Congressional Leaders Exploring Use of Digital Health to Improve Federal Healthcare Programs (Health Informatics)

During a U.S. House of Representatives Ways and Means subcommittee on Health hearing Wednesday, Congressional leaders sought insights from the digital health industry and leading healthcare providers on how to use digital health solutions to cut costs, increase efficiency and access and improve quality in the healthcare system.

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Letter: TRICARE Bill Could ‘Federalize’ Telehealth Doctors (mHealth Intelligence)

The AAFP says a section of the new defense bill could place doctors using telehealth to treat the nation’s armed servicemen and women above state licensure laws.

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USDA Funds 18 Distance Learning and Telemedicine Projects in 16 States (USDA)

Projects use telecommunications to bring medical expertise to rural areas, including substance misuse treatment.
Read more here

What’s Happening at the State Level?


Arkansas Medical Board Approves Telemedicine Regulations Establishing Doctor-patient Relationship (MobiHealth News)

Arkansans will now be able to use telemedicine the way every other state (except Texas) does. The state’s Board of Medicine approved regulations that allow a doctor and patient to establish a relationship via telemedicine.

Read more here

Read regulations here

Note: The board will meet October 6 to discuss another set of regulations that establish telemedicine standards of care.

Read those proposed regulations here



Telemedicine Legislation to be Revisited (Mississippi Business Journal)

The Mississippi Board of Medical Licensure and a leading provider of telemedicine were at odds earlier this year over who would set the rules for the practice.  In the end, it was a draw.

Read more here


New Jersey

‘Telemedicine’ Gets a Boost in N.J (nj.com)

A state Senate panel Monday unanimously approved legislation that would regulate the growing field of telemedicine, the virtual interaction between a patient and a doctor.

Read more here

Read SB 291 here



Next Steps for Telemedicine in Texas – Legislative Fix and Medicaid Policy Changes (Lexology)

In the last several years, Texas has generated significant news stories related to the disagreements between the Texas Medical Board (“TMB”) and Teladoc, a telehealth medical provider. However, there may be legislative and regulatory changes on the horizon.

Read more here

FTC Weighs in on Teladoc’s Side in Ongoing Antitrust Case (Mobihealth News)

Teladoc’s antitrust lawsuit against the Texas Medical Board (TMB) is still a long way from over, but an amicus curie brief filed this morning in the Fifth Circuit Court shows that the telemedicine company has friends in high places: namely, the US Federal Trade Commission.

Read more here


Regulatory Update Matrix

State Status Concerning Issue
Alaska Comments due Oct 24th Dept. of Commerce, Community and Economic Development Telemedicine Business Registry
Arizona Draft Rules hearing- July 26th Board of Psychologists Telepractice and Supervision
Arkansas Oct 6thMeeting Medical Board Practice Standards
District of Columbia Proposed Department of Health Telemedicine practice standards for physicians
Massachusetts DMH Criteria for telemedicine use during examination and 24/7 coverage
Nebraska Proposed Medicaid State plan amendment removing mileage requirements and permitting RPM and asynchronous coverage
Tennessee MD Board Clinical practice standards and licensure

***Information Gathered from ATA Monthly Update Webinar


All Things Parity

State Bill Number Status Issue
Massachusetts HB 4442 (formerly HB 267) Enacted Would allow access to telemedicine services by allowing certain clinicians to be credentialed and allowing for coverage of such services by all payers and the Medicaid program.
New Jersey S 291 Coverage and reimbursement parity
Pennsylvania SB 1342 and HB 2267 Referred to Banking and Insurance Committee Telemedicine

***Information Gathered from ATA Monthly Update Webinar


Interstate Licensure Compact Updates…..

National Reciprocity
Department of Defense
Department of veterans affairs (S2170 and HR 2516)
Medicare (S 1778 and HR 3081)
Federation of State Medical Boards (FSMB) 17 states Alabama, Arizona, Idaho, Illinois, Iowa, Kansas, Minnesota, Mississippi, Montana, Nevada, New Hampshire, South Dakota, Utah, West Virginia, Wisconsin, Wyoming and Colorado
Mutual Recognition
National Council for State Boards of Nursing (Enhanced NLC and APRN) Arizona, Florida, Idaho, Missouri, New Hampshire, Oklahoma, South Dakota, Tennessee, Virginia, and Wyoming
Association for State and Provincial Psychology Boards (PSYPACT) Needs 7 states: Arizona

***Information Gathered from ATA Monthly Update Webinar


In Other News…..

What are Consumers’ Telemedicine and Remote Monitoring Priorities?(MedCity News)

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The Reward of Telemedicine Investments for ACOs (Health System Management)

Read more here



ATA: Payment Reform Tops the List of Telemedicine Trends (mHealth Intelligence)

Read more here

Click here to learn more about MACRA

7 Tips for Including Patient Safety in Telemedicine Programs (mHealth Intelligence)

Read more here

Epic to Add Telemedicine Support to EHR, Offer Free Service to FQHCs (MedCity News)

Read more here


“GOTCHA” of the Month…..

Every month we aim to feature a new “Gotcha of the Month” – If you missed this month and have a Regulatory “Gotcha” or question that you want us to pay special attention to – Email cpapp@in-sight.net and your Topic could be Featured in Next Month’s Issue!

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