Great Plains Telehealth Resource Center - Oct. 2018

Last Updated: October 29, 2018

The Heartland Telehealth Resource Center provides telehealth technical assistance to the states of Wisconsin, Iowa, Nebraska, South Dakota, and North Dakota. A few notes about this report: 1. Bills are organized into specific telehealth "topic area". 2. The Fiscal Note (FN) Outlook: The left hand column indicates the bill's Pre-Floor Score, and the right hand column indicates the bill's actual Floor Score of the last chamber it was in (either Senate or House). 3. Regulations are listed at the end in order of their publication date. 4. If you would like to learn more about any piece of legislation or regulation, the bill numbers and regulation titles are clickable and link out to additional information.

Bills by Topic Bills by Status

1 - Vetoed 13 - Failed Sine Die 3 - Enacted

All Bills (listed by topic area) Broadband (1)

State Bill Number Last Action Status Position Priority MN HF 3002 Introduction And First Reading Referred To Job Failed sine die None None Growth And Energy Affordability Policy And Finance 2018 02 22

Title Bill Summary: Relates to broadband; modifies eligibility for the Border to border broadband grant program eligibility modified. border-to-border broadband grant program.

Primary Sponsors Pat Garofalo Cross-State Licensing (1)

State Bill Number Last Action Status Position Priority NE LB 1034 Approved By Governor On April 23 2018 2018 Enacted None None 04 23

Title Bill Summary: Adopts the Psychology Interjurisdictional Compact Change credentialing provisions for health care professions and and the EMS Personnel Licensure Interstate Compact. occupations and licensure provisions for health care facilities and services and school-age child care programs and adopt the EMS Personnel Licensure Interstate Compact and the Psychology Interjurisdictional Compact

Primary Sponsors Merv Riepe

Demonstrations, Grants & Pilot Projects (4)

State Bill Number Last Action Status Position Priority MN HF 3195 Second Reading 2018 04 18 Failed sine die None None

Title Bill Summary: Relates to health occupations; requires the Council of Council of Health Boards required to study and make Health Boards to study and make recommendations on increasing recommendations on increasing access to clinical experiences access to clinical experiences through the use of technology. through the use of technology, and money appropriated.

Primary Sponsors Tony Albright

State Bill Number Last Action Status Position Priority MN HF 4198 Introduction And First Reading Referred To Failed sine die None None Health And Human Services Finance 2018 03 22

Title Bill Summary: Relates to human services; appropriates money for School-linked mental health telemedicine grants funding provided, school-linked mental health grants delivered by telemedicine; requires a report required, and money appropriated. report.

Primary Sponsors Peggy Bennett

State Bill Number Last Action Status Position Priority MN SF 3679 Referred To Human Services Reform Finance Failed sine die None None And Policy 2018 03 21

Title Bill Summary: Appropriates funds to the Commissioner of Human School-linked mental health grants delivered by telemedicine Services for grants for pilot projects to deliver school-linked mental appropriation health services via telehealth.

Primary Sponsors , Tony Lourey, Scott Jensen, Matt Klein, State Bill Number Last Action Status Position Priority MN SF 3937 Comm Report To Pass As Amended And Re Failed sine die None None Refer To Finance 2018 04 19

Title Bill Summary: Establishes School-Linked Mental Health Services Human services provisions modifications; licensing, state-operated Grants which allows expenses toward telemedicine delivery fees. services, chemical and mental health, community supports and continuing care, and health care modifications; appropriations

Primary Sponsors , John Hoffman

Network Adequacy (2)

State Bill Number Last Action Status Position Priority MN HF 3138 Second Reading 2018 05 19 Failed sine die None None

Title Bill Summary: Expands telehealth coverage to not limit telemedicine Omnibus health, human services, and transportation policy and services provided for the treatment and control of tuberculosis. finance bill.

Primary Sponsors Matt Dean, Paul Torkelson, Benson

State Bill Number Last Action Status Position Priority MN SF 2505 Comm Report To Pass As Amended And Re Failed sine die None None Refer To Finance 2018 04 23

Title Bill Summary: Expands telehealth coverage to not limit telemedicine Health care, health coverage, health department, and health- services provided for the treatment and control of tuberculosis. related licensing boards provisions modifications; prescription monitoring program; protection of vulnerable adults; human services forecast adjustments; appropriations

Primary Sponsors Michelle Benson, Julie Rosen,

Other (3)

State Bill Number Last Action Status Position Priority IA SF 2365 Amendment 2018 04 18 Failed sine die None None

Title Bill Summary: Relates to assistance animals, assistive animals, and A bill for an act relating to assistance animals and service animals service dogs; provides penalties for misrepresenting oneself as in housing and misrepresentation of an animal as a service animal entitled to an assistance animal or an assistive animal in housing or a service-animal-in-training and providing penalties and and for misrepresenting an animal as an assistive animal or a service including applicability provisions. (Formerly SSB 3148.) dog; includes applicability provisions; allows findings to be established via telemedicine. Primary Sponsors Dan Dawson, Jon Jacobsen State Bill Number Last Action Status Position Priority MN SF 2887 Referred To Health And Human Services Failed sine die None None Finance And Policy 2018 03 01

Title Bill Summary: Relates to health occupations; requires the Council of Council of health boards clinical experiences access increase Health Boards to study and make recommendations on increasing through technology use, study and recommendations requirement access to clinical experiences through the use of technology.

Primary Sponsors , Matt Klein, Michelle Benson

State Bill Number Last Action Status Position Priority MN SF 3656 Secretary Of State Filed 2018 05 23 Vetoed None None

Title Bill Summary: Modifies telemedicine service limits to remove the limit of Omnibus supplemental budget bill three telemedicine services per week if provided for the treatment and control of tuberculosis in a manner consistent with the Primary Sponsors recommendations and best practices specified by the Centers for Julie Rosen, Knoblach Disease Control and Prevention.

Private Payer Reimbursement (2)

State Bill Number Last Action Status Position Priority IA HF 2305 Signed By Governor 2018 03 29 Enacted None None

Title Bill Summary: Relates to insurance coverage for health care services A bill for an act relating to insurance coverage for health care delivered by telehealth; includes applicability provisions. services delivered by telehealth, and including applicability provisions. (Formerly HSB 572.) Effective 7-1-18.

Primary Sponsors Dennis Guth, Guy Vander Linden

State Bill Number Last Action Status Position Priority SD SB 122 Health And Human Services Tabled Passed Failed sine die None None Yeas 6 Nays 0 S J 397 2018 02 07

Title Bill Summary: Provides for the payment of claims for covered Provide for the payment of claims for covered services provided by services provided by a health care provider via telemedicine or a health care provider via telemedicine or telehealth. telehealth.

Primary Sponsors Blake Curd, Jean Hunhoff

Regulatory, Licensing & Advisory Boards (4) State Bill Number Last Action Status Position Priority MN HF 2919 Committee Report To Adopt As Amended And Failed sine die None None Re Refer To Health And Human Services Finance 2018 03 14

Title Bill Summary: Relates to health; allows community health workers to Community health workers allowed to provide telemedicine provide telemedicine services; eliminates the medical assistance limit services, and medical assistance limit for telemedicine encounters for certain telemedicine encounters. eliminated.

Primary Sponsors Deb Kiel

State Bill Number Last Action Status Position Priority MN SF 2765 Referred To Health And Human Services Failed sine die None None Finance And Policy 2018 03 01

Title Bill Summary: Relates to health; allows community health workers to Telemedicine services provided by community health workers provide telemedicine services; eliminates the medical assistance limit authorization; medical assistance (MA) limit on telemedicine for certain telemedicine encounters. encounters exceptions

Primary Sponsors , Michelle Benson

State Bill Number Last Action Status Position Priority NE LB 701 Approved By Governor On April 11 2018 2018 Enacted None None 04 18

Title Bill Summary: Provides for telehealth practice by physicians and Provide for telehealth practice by physicians and physician physician assistants. assistants

Primary Sponsors Mark Kolterman

State Bill Number Last Action Status Position Priority SD SB 123 Health And Human Services Tabled Passed Failed sine die None None Yeas 6 Nays 0 S J 397 2018 02 07

Title Bill Summary: Provides for the utilization of telemedicine or telehealth Provide for the utilization of telemedicine or telehealth by a health by a health care professional. care professional.

Primary Sponsors Blake Curd, Jean Hunhoff GPTRC Regulation Tracking Oct 30, 2018

# State Reference Number Status Type Initial Publication Date Document Count

1 IA Proposed Rule Regular Oct 24, 2018 1

Issues: Other

Labels:

Title: Universal practice standards—licenses, fees; telepharmacy, 8.35, 13.16

Agencies: Pharmacy Board (IA)

Custom Clarifies distance requirements between telepharmacy sites and currently licensed pharmacies. Amends initial application requirements for telepharmacies. Summary:

2 IA Proposed Rule Regular Aug 15, 2018 3

Issues: Regulatory, Licensing & Advisory Boards

Labels:

Title: Mental health and disability services regions, amendments to ch 25

Agencies: Human Services Department (IA)

Custom Provides a definition for 'prescreening assessment' and 'warm handoff' both of which may be conducted via telehealth. Summary:

3 IA Final Rule Regular Apr 25, 2018 4

Issues: Regulatory, Licensing & Advisory Boards

Labels:

Title: Physical therapists and physical therapist assistants, occupational therapists and occupational therapy assistants—licensure, continuing education, 200.6, 203.3(2), 206.8

Agencies: Professional Licensure Division (IA)

Custom Revises the supervision requirements for physical therapy and occupational therapy, adds requirements for physical therapy and occupational therapy supervision Summary: by telehealth, revises the limit on the number of physical therapist assistants who can be supervised by a physical therapist, among other changes.

4 NE Proposed Rule Regular Apr 05, 2018 1

Issues: Medicaid Reimbursement

Labels:

Title: 16028DD-HCBS Waiver Services (Title 403) - Second Public Hearing.

Agencies: HEALTH AND HUMAN SERVICES (NE)

Custom Relates to the Health and Community Based Medicaid Waiver services for individuals with developmental disabilities; permits a consultative assessment service Summary: to be conducted via telehealth.

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