States Advance Telehealth Regulations to Ensure Reimbursement Equality and Access

State legislatures are advancing telehealth by enhancing reimbursements, regulations, and provider training, marking a shift towards equitable virtual healthcare solutions.

This report delves into the latest shifts in state laws and regulations that impact healthcare providers, telehealth and digital health companies, pharmacists, and tech firms delivering virtual care solutions.

Key Updates:

  • Movement towards reimbursement parity.
  • Increased telehealth training initiatives for providers.

In-depth Analysis

Legislative Developments on the Horizon:

In Ohio, Senate Bill 95 has successfully moved through both legislative chambers.

This proposed law aims to enable remote pharmacy dispensing, removing existing barriers that prevent pharmacists from utilizing telehealth to dispense controlled substances.

Meanwhile, the Oregon Health Authority is working on clarifying current telehealth regulations.

Their efforts include introducing references to standard definitions widely accepted in the industry to enhance understanding.

The New York Department of Public Health has put forth two amendments to the Medicaid State Plan related to non-institutional services.

These amendments seek to refine the notification processes regarding reimbursement rates for early intervention services provided remotely, with certain areas possibly facing reimbursement cuts of up to 20%.

Confirmed Legislative Changes:

  • Illinois is set to implement modifications to the Illinois Public Aid Code and the Illinois Physical Therapy Act starting January 1, 2025.

    These amendments will influence how telehealth services are delivered in the state.

  • In Kentucky, Senate Bill 111 requires health insurance coverage for speech therapy conducted via telehealth, marking a significant step forward in virtual care accessibility.
  • Missouri will enforce emergency amendments regarding coverage for virtual visits under the Missouri Consolidated Health Care Plan, effective January 1, 2025.
  • New Jersey has approved legislation extending reimbursement equity for telehealth and telemedicine services until July 1, 2026.
  • New York’s Assembly Bill 6799 launches an educational project aimed at drug-induced movement disorders, incorporating resources from telehealth to enhance learning.
  • In Vermont, House Bill 861 ensures that health insurance providers reimburse telehealth and audio-only consultations at rates equal to in-person visits.

Implications of These Changes:

The push for reimbursement equality continues to gain momentum across the states, with various jurisdictions striving to align payment rates for remote and in-person healthcare services.

These legislative actions illustrate an increasing acknowledgment of telehealth as a legitimate and effective method for delivering care.

They emphasize the importance of equipping healthcare professionals with the necessary training to provide telehealth services confidently and effectively.

Through these evolving laws and regulations, the landscape of virtual healthcare is rapidly changing, reflecting a broader acceptance and integration of telehealth into the fabric of the healthcare system.

Source: Natlawreview.com