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Rotator-Graphic_PendingLegislation-300x101The following is a list of legislative activities for telehealth and telemedicine within the South Central region (AR, MS and TN). A special thanks goes to the Center for Connected Health Policy for providing this information. You may visit their webpage by clicking the following link: http://telehealthpolicy.us/laws/pending/state

Please Note: CCHP has a pending legislation/regulation webpage located at the following link: http://cchpca.org/state-laws-and-reimbursement-policies

LEGISLATION

Pending Legislation

State

Bill #

Status

Summary

Tennessee

HB 518

4/5/17: Taken off notice of cal. in s/c Health Subcommittee Requires the commissioner of health to study and report on recommendations for legislation concerning telehealth and telemedicine under existing statute. The recommendations must examine the need for improving the effective use of telemedicine and telehealth among healthcare providers and insurers.
Tennessee

HB 664

5/3/17: Passed House as amended. Enacts the Interstate Medical Licensure Compact.

Tennessee

SB 595

5/2/17: Recommended for passage, refer to Senate Calendar Committee Enacts the Interstate Medical Licensure Compact.

Tennessee

SB 601

4/4/17: In Senate Committee on Commerce and Labor. Referred to General Subcommittee. Requires the commissioner of health to study and report on recommendations for legislation concerning telehealth and telemedicine under existing statute. The recommendations must examine the need for improving the effective use of telemedicine and telehealth among healthcare providers and insurers.

 

Passed Legislation

State

Bill #

Status

Summary

 Arkansas  SB 146  2/17/17: Signed by Governor  This bill would create the Telemedicine Act; amend the definition of telemedicine and originating site; addresses requirements of a professional relationship when using telemedicine; adds standards for the appropriate use of telemedicine; address insurance coverage of telemedicine; and for other purposes.
 Arkansas HB 1556  3/9/17: Signed by Governor  Amends the Arkansas medical marijuana amendment of 2016; prohibits telemedicine as the method by which a qualifying patient obtains a written certification.
 Arkansas  SB 78 3/8/17: Signed by Governor  Requires the AR State Medical Board to perform an analysis of the Interstate Medical Licensure Compact to determine whether the state of Arkansas should participate.
 Tennessee SB 195  4/19/17: Chaptered  Relates to health care; Adds healthcare services provided to a patient at a public elementary or secondary school to the current definition of telehealth services for which health insurance entities are required to reimburse in a manner that is consistent with reimbursement for in-person encounters.

 

Session Ended (Option for Carry Over)

State

Bill #

Status

Summary

Arkansas

 HB 1437  2/13/17: Referred to Senate Committee on Public Health, Welfare and Labor Amends the Laws concerning telemedicine; creates the Telemedicine Act.
Mississippi  HB 1093 1/31/17: Died Requires the Director of Medicaid to apply to CMS for any waivers for the approval of experimental, pilot or demonstration projects that promote the objectives of providing services to eligible individuals. The waiver should, among other items, authorize the state to more extensively incorporate and encourage telemedicine options.
Mississippi  HB 318 2/28/17: Died This bill establishes the MS Rural Hospital Transition and Improvement Grant Program. Among other elements grant monies may be used by the rural hospital to establish a telemedicine system.
Mississippi HB 555  2/28/17: Died Makes minor amendments to the Interstate Medical Licensure Compact language.
Mississippi  HB 861  1/31/17: Died in committee Requires State and School Employees Health Insurance Management Board to establish a pilot program for urgent health care services using a telemedicine kiosk model managed by the University of Mississippi Medical Center.
Mississippi HB 96  1/31/17: Died Allows testing required under the Medicaid program, Children’s Health Insurance program and State and School Employees health Insurance Plan for illegal drugs, alcohol, hepatitis B and C, TB and sexually transmitted diseases to be covered when delivered through telemedicine.


REGULATION

Pending Regulation

State

Reg. Citation

Status

Summary

Arkansas

060.00.16

4/27/16: Proposed rule

Comment Deadline: 6/9/16

Title: Regulation 38

Agency: Medical Board

Establishes rule pertaining to telemedicine and the requirement for
all services provided by physicians.

Arkansas

007.05.16

6/9/16: Proposed

Comment Deadline: 7/26/16

Title: Abortion Facilities

Agency: Health Facility Services

This bill would prohibit drug induced, chemical and surgical abortions be performed by telemedicine.

Arkansas

016.06.16

6/24/16: Proposed

Comment Deadline: 7/26/16

Title: Rehabilitative Services for Persons with Mental Illness

Agency: Division of Medical Services

This rule would provide billing information for billing for rehabilitative services delivered through telemedicine, among other components.

Arkansas

016.06.16

11/28/16: Proposed rule

Comment Deadline: 12/30/16

Title: Telemedicine Policy

Agency: Department of Human Services, Division of Medical Services

Amends rules to update the Telemedicine policy to provide clarification of interactive audio and visual transmission of the physician patient encounter.

Mississippi

Title 20, Part 2

4/11/17: Proposed

Comment Deadline: 5/6/17

Title: Workers Compensation Medical Fee Schedule

Agency: Workers’ Compensation Commission

Amends rules pertaining to Workers’ Compensation Medical Fee Schedule to add the recently developed Mississippi Workers’ Compensation Commission Guidelines for the Prescription of Opiates into the schedule. Specifically, it provides a definition of telemedicine and telemergency and sets parameters around out-of-state providers utilizing telemedicine.

Tennessee

TAC 0800-2-17-.1-.25

4/13/17: Proposed rule

Comment Deadline: 5/28/17

Title: Rules for Medical Payments

Agency: Division of Workers’ Compensation

For telehealth, states that the definitions, licensing and processes for the purpose of these rules shall be the same as adopted by the Tennessee Department of Health. Reimbursement will be based upon the applicable Medicare guidelines and coding for the different service providers..

 

Adopted Rules

State

Bill #

Status

Summary

Arkansas

060.00.16

Status: 12/15/16

Effective: 12/25/16

Title: Regulation 38: Telemedicine

Agency: AR Medical Board

Amends rule concerning telemedicine to establish a requirement for physicians to provide services. Specifically, it eliminates the section of the rule which states that a telemedicine vendor of a patient completing a medical history online and forwarding it to a physician does not qualify as store and forward technology.

Mississippi

Part 2635

4/10/17: Adopted

Effective: 5/10/17

Title: Practice of Medicine

Agency: Board of Medical Licensure

Amends MS policy regarding out of state physicians, eliminating the exception that when evaluation, treatment and or/medicine by a physician outside of MS is requested by a physician licensed in MS, and that physician has already established a doctor/physician relationship with the patient, that a MS license is not required by the out of state provider. Adds that the interpretation of clinical laboratory studies as well as pathology and histopathology studies performed by physicians without Mississippi licensure is not the practice of telemedicine provided a Mississippi licensed physician is responsible for accepting, rejecting, or modifying the interpretation. The Mississippi licensed physician must maintain exclusive control over any subsequent therapy or additional diagnostics.