Mid-Atlantic Telehealth Resource Center - July 2019

Last Updated: August 02, 2019

The Mid-Atlantic Telehealth Resource Center provides telehealth technical assistance to the states of Delaware, District of Columbia, , Maryland, , North Carolina, Pennsylvania, Virginia, and . 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

Broadband 0 Cross-State Licensi… 22 22 Demonstrations, … 3 3 Medicaid Reimbur… 6 6 Medicare Reimbur… 0 Network Adequacy 1 Online Prescribing 2 2 Other 7 7 15 - Introduced Private Payer Rei… 3 3 1 - Vetoed Provider-Patient R… 1 1 Regulatory, Licensi… 8 8 4 - Failed Substance Use Dis… 0 12 - Failed Sine Die 0 10 20 30 17 - Enacted

High Medium Low None

All Bills Cross-State Licensing (22) State Bill Number Last Action Status Position Priority FN Outlook DC B 23-0145 Notice Of Intent To Act On B 23 0145 Under Council Review None None 0.0% 0.0% Published In The District Of Columbia Register 2019 02 22

Title Bill Summary: Adopts the Psychology Interjurisdictional Compact. District of Columbia Psychology Interjurisdictional Compact Act of 2019

Description BILL SUMMARY - As introduced it regulates the practice of tele- psychology and the face to face practice of psychology across state boundaries. Among other things, It provides legal recognition to psychologists properly licensed out of state. It also requires all compact states share licensee information with compact states and create a coordinated database on participating compact psychologists.

Primary Sponsors , David Grosso, , Vincent Gray,

State Bill Number Last Action Status Position Priority DE HB 172 Signed By Governor 2019 06 27 Enacted None None

Title Bill Summary: Enacts the Psychology Interjurisdictional Compact. AN ACT TO AMEND TITLE 24 OF THE DELAWARE CODE CREATING A PSYCHOLOGY INTERJURISDICTIONAL COMPACT.

Description This Act, the Psychology Interjurisdictional Compact (PSYPACT), is an interstate compact designed to facilitate the practice of telepsychology and the temporary in-person, face-to-face practice of psychology across state boundaries. PSYPACT has become operational as at least seven states have enacted PSYPACT legislation. Through PSYPACT, licensed psychologists are able to apply for and use Association of State and Provincial Psychology Boards (ASPPB) certificates, which include the E.Passport to practice telepsychology and the Interjurisdictional Practice Certificate (IPC) to conduct temporary in-person, face-to-face practice in PSYPACT states.

Primary Sponsors Dave Bentz, Stephanie Hansen State Bill Number Last Action Status Position Priority DE SB 83 Signed By Governor 2019 07 30 Enacted None None

Title Bill Summary: Adopts the Physical Therapy Licensure Compact. AN ACT TO AMEND TITLE 24 OF THE DELAWARE CODE RELATING TO THE PHYSICAL THERAPY LICENSURE COMPACT.

Description This Act adopts the Physical Therapy Licensure Compact (“Compact”). The Compact benefits the public by improving continuity of care, increasing license portability for military spouses, and increasing access to physical therapy providers. Under the Compact, physical therapists and physical therapist assistants licensed in a Compact member state may obtain an expedited license allowing licensees to practice in another Compact member state. In adopting the Compact, the state-based licensure system is preserved but communication between states is enhanced. The Compact will be administered by the Physical Therapy Compact Commission (“Commission”) which will process applications for Compact privilege. Physical therapists and physical therapist assistants licensed by the Delaware Examining Board of Physical Therapists and Athletic Trainers (“Board”) may be granted "compact privilege," which will allow them to practice in another member state under the laws and regulations of the remote state. To exercise the compact privilege, a licensee must meet all of the following requirements: 1. Hold a license in the home state with no encumbrances. 2. Be eligible for a compact privilege in any member state. 3. Have no adverse actions within the previous 2 years regarding their license or any Compact privilege. 4. Notify the Commission that compact privilege is being sought in a member state. 5. Pay applicable fees. 6. Be aware of and comply with the laws and rules governing the practice of physical therapy in the remote state. 7. Report adverse action taken by any non-member state within 30 days. The Compact also authorizes the Board to do all of the following: 1. Appoint a qualified delegate to serve on the Commission. 2. Participate fully in the Commission's data system. 3. Notify the Commission about adverse action taken against licensees by the Board.

Primary Sponsors Jack Walsh, Dave Bentz

State Bill Number Last Action Status Position Priority KY SB 22 Signed By Governor Ky Acts Ch 077 2019 03 25 Enacted None None

Title Bill Summary: Adopts the Interstate Medical Licensure Compact. AN ACT relating to the Interstate Medical Licensure Compact.

Description Create a new section of KRS Chapter 311 to enact and enter into the Interstate Medical Licensure Compact with all other jurisdictions that legally join in the compact; declare the purpose of the compact; define terms; recognize a multistate licensure privilege to practice for physicians.

Primary Sponsors Ralph Alvarado, Steve Meredith State Bill Number Last Action Status Position Priority MD HB 648 Approved By The Governor Chapter 374 2019 Enacted None None 04 30

Title Bill Summary: Adopts the Interstate Physical Therapy Licensure Interstate Physical Therapy Licensure Compact Compact.

Description Entering into the Interstate Physical Therapy Licensure Compact; stating that the goal of the Compact is to improve public access to physical therapy services; requiring a state to meet certain requirements to participate in the Compact; requiring a physical therapist to meet certain eligibility requirements to receive certain licensure and exercise a certain privilege; authorizing the State Board of Physical Therapy Examiners to charge a fee for granting a compact privilege; etc.

Primary Sponsors Heather Bagnall

State Bill Number Last Action Status Position Priority MD SB 652 Vetoed By The Governor Duplicative 2019 05 Vetoed None None 24

Title Bill Summary: Adopts the Interstate Physical Therapy Licensure Interstate Physical Therapy Licensure Compact Compact.

Description Entering into the Interstate Physical Therapy Licensure Compact; stating that the goal of the Compact is to improve public access to physical therapy services; requiring a state to meet certain requirements to participate in the Compact; requiring a physical therapist to meet certain eligibility requirements to receive certain licensure and exercise a certain privilege; authorizing the State Board of Physical Therapy Examiners to charge a fee for granting a compact privilege; etc.

Primary Sponsors Ron Young

State Bill Number Last Action Status Position Priority NC HB 297 Ref To Com On Rules And Operations Of The Failed sine die None None Senate 2019 03 28

Title Bill Summary: Adopts the Psychology Interjurisdictional Licensure Psychology Interjdtl. Compact (PSYPACT). Compact.

Primary Sponsors Holly Grange, Josh Dobson, John Szoka State Bill Number Last Action Status Position Priority NC SB 361 Re Ref To The Com On Health If Favorable Failed sine die None None Rules Calendar And Operations Of The House 2019 06 28

Title Bill Summary: Adopts the Psychology Interjurisdictional Licensure Health Care Expansion Act of 2019. Compact and establishes compact privileges related to the interstate practice of telepsychology. Primary Sponsors Joyce Krawiec, Dan Bishop, Ralph Hise

State Bill Number Last Action Status Position Priority FN Outlook NJ A 1597 Substituted By S 954 1699 Scs 1 R 2019 05 23 In Assembly None None 42.0% 93.4%

Title Bill Summary: Adopts the Nurse Licensure Compact. Enters New Jersey in enhanced multistate Nurse Licensure Compact.

Primary Sponsors , Paul Moriarty, Shavonda Sumter, Angela McKnight, ,

State Bill Number Last Action Status Position Priority FN Outlook NJ A 1598 Withdrawn From Consideration 2018 10 15 In Assembly None None 6.4% 90.6%

Title Bill Summary: Enters New Jersey into the Physical Therapy Enters New Jersey in Physical Therapy Licensure Compact. Licensure Compact.

Primary Sponsors Herb Conaway, Thomas Giblin

State Bill Number Last Action Status Position Priority FN Outlook NJ A 4599 Introduced Referred To Assembly Homeland In Assembly None None 3.8% 93.3% Security And State Preparedness Committee 2018 10 18

Title Bill Summary: Enters New Jersey into the Emergency Medical Enters New Jersey into Emergency Medical Services Personnel Services Personnel Licensure Interstate Compact. Licensure Interstate Compact.

Primary Sponsors Carol Murphy, Raj Mukherji, Ron Dancer

State Bill Number Last Action Status Position Priority FN Outlook NJ A 5406 Introduced Referred To Assembly Health And In Assembly None None 4.2% 88.4% Senior Services Committee 2019 05 20

Title Bill Summary: Enters New Jersey into the Interstate Medical Enters New Jersey into Interstate Medical Licensure Compact. Licensure Compact.

Primary Sponsors Carol Murphy State Bill Number Last Action Status Position Priority NJ S 954 Approved P L 2019 C 172 2019 07 19 Enacted None None

Title Bill Summary: Enters New Jersey into the Multistate Nurse Enters New Jersey in enhanced multistate Nurse Licensure Licensure Compact. Compact.

Primary Sponsors Joe Vitale, Troy Singleton, Fred Madden, Herb Conaway, Paul Moriarty, Shavonda Sumter, Angela McKnight, Raj Mukherji, Joann Downey

State Bill Number Last Action Status Position Priority FN Outlook NJ S 3598 Introduced In The Senate Referred To Senate In Senate None None 2.8% 88.3% Health Human Services And Senior Citizens Committee 2019 03 18

Title Bill Summary: Adopts the Emergency Medical Services Personnel Enters New Jersey into Emergency Medical Services Personnel Licensure Interstate Compact. Licensure Interstate Compact.

Primary Sponsors Linda Greenstein, Fred Madden

State Bill Number Last Action Status Position Priority FN Outlook NJ S 3821 Introduced In The Senate Referred To Senate In Senate None None 39.4% 89.4% Health Human Services And Senior Citizens Committee 2019 05 30

Title Bill Summary: Adopts the Interstate Medical Licensure Compact. Enters New Jersey into Interstate Medical Licensure Compact.

Primary Sponsors Joe Vitale, Joe Cryan

State Bill Number Last Action Status Position Priority FN Outlook PA HB 862 Referred To Professional Licensure 2019 03 18 In House None None 2.3% 84.3%

Title Bill Summary: Adopts the Physical Therapy Licensure Compact. An Act authorizing the Commonwealth of Pennsylvania to join the Physical Therapy Licensure Compact; and providing for the form of the compact.

Primary Sponsors Steve Barrar State Bill Number Last Action Status Position Priority FN Outlook PA SB 67 First Consideration 2019 06 19 In Senate None None 3.1% 86.9%

Title Bill Summary: Enacts the Psychology Interjurisdictional Compact. An Act authorizing the Commonwealth of Pennsylvania to join the Psychology Interjurisdictional Compact; providing for the form of the compact; imposing additional powers and duties on the Governor, the Secretary of the Commonwealth and the Compact.

State Bill Number Last Action Status Position Priority FN Outlook PA SB 655 Referred To Consumer Protection And In Senate None None 3.4% 85.9% Professional Licensure 2019 05 20

Title Bill Summary: Adopts the Nurse Licensure Compact. An Act authorizing the Commonwealth of Pennsylvania to join the Nurse Licensure Compact; and providing for the form of the compact.

State Bill Number Last Action Status Position Priority VA HB 2128 House Tabled In Health Welfare And Failed None None Institutions By Voice Vote 2019 02 05

Title Bill Summary: Creates a licensure exception for a person licensed to Telemedicine; physicians licensed in contiguous jurisdictions. practice medicine or osteopathy who is in good standing within their jurisdiction that is contiguous with Virginia providing healthcare Description through telemedicine. Telemedicine; physicians licensed in contiguous jurisdictions. Authorizes a person licensed to practice medicine or osteopathy who is in good standing with the applicable regulatory agency of a jurisdiction that is contiguous to the Commonwealth to provide health care services to patients located in the Commonwealth through use of telemedicine services.

Primary Sponsors Liz Guzman State Bill Number Last Action Status Position Priority VA SB 1106 Governor Acts Of Assembly Chapter Text Chap Enacted None None 0300 2019 03 08

Title Bill Summary: Enters Virginia into the Physical Therapy Licensure Physical therapists & physical therapist assistants; licensure, Compact. Physical Therapy Licensure Compact.

Description Licensure of physical therapists and physical therapist assistants; Physical Therapy Licensure Compact. Authorizes Virginia to become a signatory to the Physical Therapy Licensure Compact. The Compact permits eligible licensed physical therapists and physical therapist assistants to practice in Compact member states, provided they are licensed in at least one member state. In addition, the bill requires each applicant for licensure in the Commonwealth as a physical therapist or physical therapist assistant to submit fingerprints and provide personal descriptive information in order for the Board to receive a state and federal criminal history record report for each applicant. The bill has a delayed effective date of January 1, 2020, and directs the Board of Physical Therapy to adopt emergency regulations to implement the provisions of the bill.

Primary Sponsors Mark Peake

State Bill Number Last Action Status Position Priority WV HB 2729 From Special Calendar 3rd Reading Placed On Failed sine die None None House Calendar 2019 02 28

Title Bill Summary: Adopts the Recognition of Emergency Medical Recognition of Emergency Medical Services Personnel Licensure Services Personnel Licensure Interstate Compact. Interstate Compact

Primary Sponsors Buck Jennings

State Bill Number Last Action Status Position Priority WV SB 432 Introduced In House 2019 02 26 Failed sine die None None

Title Bill Summary: Adopts the Recognition of Emergency Medical Enacting Recognition of Emergency Medical Services Personnel Services Personnel Licensure Interstate Compact. Licensure Interstate Compact

Primary Sponsors Dave Sypolt

Demonstrations, Grants & Pilot Projects (3) State Bill Number Last Action Status Position Priority FN Outlook DC B 23-0362 Notice Of Intent To Act On B 23 0362 Under Council Review None None 0.0% 0.0% Published In The District Of Columbia Register 2019 06 28

Title Bill Summary: Among other changes, establishes the Center on Maternal Health Care Improvement and Expansion Act of 2019 Maternal Health and Wellness to assist pregnant individuals through the various stages of pregnancy, provide a space for community support, Description and to promote access to services. The Center shall make services BILL SUMMARY - As introduced it requires individual or group available regardless of an individual's physical presence in the space, health plans and health insurance coverage through Medicaid or including through telehealth and online. the D.C. Healthcare Alliance program to cover at least two postpartum healthcare visits, home visits, fertility preservation services, and transportation stipends for travel to and from prenatal and postpartum visits. It also requires Medicaid to provide coverage for pregnant District residents that meet income eligibility requirements for one year postpartum. Among other things it establishes a Center on Maternal Health and Wellness.

Primary Sponsors Charles Allen, Mary Cheh, David Grosso, Brianne Nadeau, Robert White, , Jack Evans, Kenyan McDuffie, Elissa Silverman, ,

State Bill Number Last Action Status Position Priority FN Outlook NC HB 655 Added To Calendar 2019 07 09 In House None None 29.0% 91.5%

Title Bill Summary: Establishes the Rural Access to Healthcare Grant NC Health Care for Working Families. Program to fund eligible activities, including the expansion of telehealth into rural areas of the state. Primary Sponsors Donny Lambeth, Josh Dobson, Donna White

State Bill Number Last Action Status Position Priority VA HB 1700 Governor Acts Of Assembly Chapter Text Chap Enacted None None 0854 2019 05 02

Title Bill Summary: Appropriates two years of funding to establish the Budget Bill. Appalachian Telemental Health Initiative.

Description Budget Bill. Amends Chapter 2, 2018 Special Session I Acts of Assembly.

Primary Sponsors Chris Jones

Medicaid Reimbursement (6) State Bill Number Last Action Status Position Priority MD HB 605 Approved By The Governor Chapter 479 2019 Enacted None None 05 13

Title Bill Summary: Includes psychiatric nurse practitioners who are Maryland Medical Assistance Program – Telemedicine – Psychiatric providing Assertive Community Treatment or mobile treatment Nurse Practitioners and Psychiatrists services in the list of providers who are required to be reimbursed by the Department of Health for providing services through Description telemedicine. Requiring the Maryland Department of Health, under certain circumstances, to include psychiatric nurse practitioners who are providing Assertive Community Treatment or mobile treatment services to certain Maryland Medical Assistance Program recipients in the types of providers eligible to receive reimbursement for health care services that are delivered through telemedicine and provided to Program recipients; etc.

Primary Sponsors Ariana Kelly

State Bill Number Last Action Status Position Priority MD HB 1200 Unfavorable Report By Health And Failed sine die None None Government Operations Withdrawn 2019 02 25

Title Bill Summary: Requires the Maryland Department of Health to provide Maryland Medical Assistance - Telepsychiatry - Requirements coverage for psychiatric health care services provided through telepsychology on the same basis as when provided in-person. Description Requires the Department to submit an amendment to the Medicaid Altering certain coverage and reimbursement requirements for State Plan. psychiatric health care services delivered through telemedicine under the Maryland Medical Assistance Program; requiring the Maryland Department of Health to provide coverage of and reimbursement for certain psychiatric health care services that are delivered through telepsychiatry; deeming a psychiatric health care service provided through telepsychiatry to be equivalent to a certain psychiatric health care service for a certain purpose; etc.

Primary Sponsors Kris Valderrama State Bill Number Last Action Status Position Priority MD SB 524 Approved By The Governor Chapter 480 2019 Enacted None None 05 13

Title Bill Summary: Requires the Maryland Department of Health to Maryland Medical Assistance Program – Telemedicine – Psychiatric reimburse psychiatric nurse practitioners for assertive community Nurse Practitioners and Psychiatrists treatment or mobile treatment services delivered through telemedicine under certain conditions. Description Requiring the Maryland Department of Health, under certain circumstances, to include psychiatric nurse practitioners who are providing Assertive Community Treatment or mobile treatment services to certain Maryland Medical Assistance Program recipients in the types of providers eligible to receive reimbursement for health care services that are delivered through telemedicine and provided to Program recipients; terminating the Act after September 30, 2021; etc.

Primary Sponsors Addie Eckardt

State Bill Number Last Action Status Position Priority NC HB 555 Ref To Com On Rules And Operations Of The Failed sine die None None Senate 2019 05 06

Title Bill Summary: Requires the Department of Health and Human Services Modernize Medicaid Telemedicine Policies. to reimburse for telemedicine and telepsychiatry services delivered to a patient's home or delivered from a licensed practitioner's home. Primary Sponsors Requires reimbursement for telemedicine and telepsychiatry services Josh Dobson, Donna White, Jason Saine, Donny Lambeth delivered via phone or video cell phone. Requires that telemedicine and telepsychiatry services shall not be subject to the exact same restrictions as face-to-face contacts.

State Bill Number Last Action Status Position Priority NC HB 884 Ref To The Com On Health If Favorable Rules Failed sine die None None Calendar And Operations Of The House 2019 04 22

Title Bill Summary: Would require Medicaid and NC Health Choice FQHC Medicaid Reimb./Telemed./CCPs. Reimbursement to FQHCs for telemedicine, telepsychiatry, and clinical pharmacist practitioner services. Primary Sponsors Josh Dobson, Donny Lambeth, Verla Insko State Bill Number Last Action Status Position Priority VA HB 1970 Governor Acts Of Assembly Chapter Text Chap Enacted None None 0211 2019 03 05

Title Bill Summary: Authorizes the Board of Medical Assistance Services to Telemedicine services; payment and coverage of services. prepare and submit a state plan for Medicaid that includes a provision for the payment of services provided through telemedicine, including Description remote patient monitoring. Requires coverage to include the use of Telemedicine services; coverage. Requires insurers, corporations, telemedicine and remote patient monitoring to the full extent that those or health maintenance organizations to cover medically necessary services are available. States that provisions of the chapter shall not remote patient monitoring services as part of their coverage of prevent or prohibit an out of state practitioner from providing telemedicine services to the full extent that these services are telemedicine services within the scope of their practice to a patient available. The bill defines remote patient monitoring services as the located in Virginia. Designates that telemedicine services occur where delivery of home health services using telecommunications the practitioner is located at the time of provision. technology to enhance the delivery of home health care, including monitoring of clinical patient data such as weight, blood pressure, pulse, pulse oximetry, blood glucose, and other condition-specific data; medication adherence monitoring; and interactive video conferencing with or without digital image upload. The bill requires the Board of Medical Assistance Services to include in the state plan for medical assistance services a provision for the payment of medical assistance for medically necessary health care services provided through telemedicine services. This bill is identical to SB 1221.

Primary Sponsors Terry Kilgore

Network Adequacy (1)

State Bill Number Last Action Status Position Priority WV HB 3019 Filed For Introduction 2019 02 12 Failed sine die None None

Title Bill Summary: Requires that each policy delivered or issued in West Health Care Transparency Act Virginia shall contain a provision which includes the insurer's network, including how the use of telemedicine or telehealth or other technology Primary Sponsors may be used to meet network access standards. Dean Jeffries

Online Prescribing (2)

State Bill Number Last Action Status Position Priority FN Outlook NJ A 2036 Withdrawn From Consideration 2018 07 30 In Assembly None None 4.7% 89.0%

Title Bill Summary: Permits the Division of Consumer Affairs to make Concerns prescribing of certain controlled dangerous substances; prescription monitoring information available on electronic systems requires practitioners to check prescription monitoring information that collect and display health information, provided that the division before issuing certain prescriptions to emergency department determines the electronic system has appropriate security protections. patients; authorizes medical scribes and athletic trainers to access prescription monitoring information.

Primary Sponsors Craig Coughlin, Dan Benson, Valerie Vainieri Huttle State Bill Number Last Action Status Position Priority WV HB 2947 Chapter 197 Acts Regular Session 2019 2019 04 Enacted None None 11

Title Bill Summary: Permits a telemedicine physician to submit a Relating generally to telemedicine prescription practice prescription/order for a Schedule II pharmaceutical in a hospital requirements and exceptions setting for immediate administration.

Primary Sponsors Brandon Steele

Other (7)

State Bill Number Last Action Status Position Priority MD HB 570 Approved By The Governor Chapter 274 2019 Enacted None None 04 30

Title Bill Summary: Requires that regulations adopted under the general Outpatient Mental Health Centers – Medical Directors – Telehealth health subtitle include a provision authorizing a behavioral health program located in a federally designated health professional shortage Description area to satisfy any regulatory requirement that the medical director be Requiring that regulations adopted under certain provisions of law on-site through the medical director's use of telehealth. regulating behavioral health programs include provisions authorizing a behavioral health program licensed as an outpatient mental health center to satisfy any regulatory requirement that a medical director be on-site through the use of telehealth by the director.

Primary Sponsors Sheree Sample-Hughes

State Bill Number Last Action Status Position Priority MD HB 1122 Approved By The Governor Chapter 481 2019 Enacted None None 05 13

Title Bill Summary: Authorizes psychiatric nurse practitioners to serve as a Behavioral Health Programs – Outpatient Mental Health Centers – medical director of an outpatient mental health center, including Medical Directors through telehealth.

Description Requiring that regulations adopted under certain provisions of law regulating behavioral health programs include provisions authorizing a psychiatric nurse practitioner to serve as a medical director of a certain outpatient mental health center, including through telehealth.

Primary Sponsors Kevin Hornberger State Bill Number Last Action Status Position Priority MD SB 944 Approved By The Governor Chapter 482 2019 Enacted None None 05 13

Title Bill Summary: Requires that regulations adopted under the general Behavioral Health Programs – Outpatient Mental Health Centers – health subtitle include a provision authorizing a psychiatric nurse Medical Directors practitioner to serve as a medical director of a behavioral health program, including through telehealth if the program is located in a Description federally designated health professional shortage area or the medical Requiring that regulations adopted under certain provisions of law director abandoned the program and the program has no psychiatrist regulating behavioral health programs include provisions to serve as medical director. authorizing a psychiatric nurse practitioner to serve as a medical director of a certain outpatient mental health center, including through telehealth.

Primary Sponsors Addie Eckardt

State Bill Number Last Action Status Position Priority VA HB 2499 Governor Acts Of Assembly Chapter Text Chap Enacted None None 0202 2019 03 05

Title Bill Summary: Requires the Virginia Department of Corrections to Corrections, Department of; policies to improve exchange of develop policies to improve the exchange of medical and mental health offender medical information. information and records. This includes improved access to electronic health records and information for the provision of telemedicine and Description telepsychiatry. DOC; policies to improve exchange of offender medical information. Directs the Department of Corrections to develop policies to improve the exchange of offender medical and mental health information, including policies to improve access to electronic medical records by health care providers and electronic exchange of information for telemedicine and telepsychiatry and to report by October 1, 2019, on its progress in developing such policies to the Chairmen of the House Committee on Health, Welfare and Institutions, the Senate Committee on Education and Health, and the Joint Subcommittee to Study Mental Health Services in the Commonwealth in the 21st Century.

Primary Sponsors Vivian Watts State Bill Number Last Action Status Position Priority VA SB 505 Senate Left In Education And Health 2018 11 Failed None None 30

Title Bill Summary: Permits doctorates of medical science to collaborate and Doctorate of medical science; establishes requirements for consult among other doctorates of medical science and patient care licensure and practice. team physicians through telemedicine.

Description Doctorate of medical science; licensure and practice. Establishes requirements for licensure and practice as a doctorate of medical science. The bill provides that it is unlawful to practice as a doctorate of medical science unless licensed by the Board of Medicine (Board) and requires that an applicant for licensure, among other requirements, (i) hold an active unrestricted license to practice as a physician assistant in the Commonwealth or another jurisdiction and be able to demonstrate engagement in active clinical practice as a physician assistant under physician supervision for at least three years and (ii) be a graduate of at least a two-year doctor of medical science program or an equivalent program that is accredited by a regional body under the U.S Department of Education and an accrediting body approved by the Board. The bill provides that doctorates of medical science can practice only as part of a patient care team at a hospital or group medical practice engaged in primary care and are required to maintain appropriate collaboration and consultation, as evidenced in a written or electronic practice agreement, with at least one patient care team physician. The bill requires the Board to establish the scope of practice for doctorates of medical science and to promulgate regulations regarding collaboration and consultation among a patient care team and requirements for the practice agreement. The bill outlines the prescriptive authority of doctorates of medical science. The bill also authorizes various powers and requires various duties of a doctorate of medical science where such powers and duties are, under current law, given to and required of physician assistants and nurse practitioners.

Primary Sponsors Bill Carrico

State Bill Number Last Action Status Position Priority VA SB 1444 Senate Failed To Pass In Senate 2019 02 24 Failed None None

Title Bill Summary: Adds responsibilities to the position of Commonwealth Technology, Secretary of; transfer of duties to Secretaries of Broadband Chief Advisor, including advocating for and facilitating the Administration & Commerce & Trade. deveopment of programs and services including telemedicine.

Description Secretary of Technology; transfer of duties to the Secretaries of Administration and Commerce and Trade. Transfers operational responsibilities of the Office of the Secretary of Technology to the Secretary of Administration and responsibilities related to commercialization and entrepreneurial support to the Secretary of Commerce and Trade. The bill contains technical amendments.

Primary Sponsors Mamie Locke State Bill Number Last Action Status Position Priority WV HB 3019 Filed For Introduction 2019 02 12 Failed sine die None None

Title Bill Summary: Requires that each policy delivered or issued in West Health Care Transparency Act Virginia shall contain a provision which includes the insurer's network, including how the use of telemedicine or telehealth or other technology Primary Sponsors may be used to meet network access standards. Dean Jeffries

Private Payer Reimbursement (3)

State Bill Number Last Action Status Position Priority NC HB 721 Ref To Com On Rules And Operations Of The Failed sine die None None Senate 2019 05 06

Title Bill Summary: Requires health benefit plans to provide reimbursement Increase Access to Telehealth Services. for services provided through telehealth at an equivalent rate to coverage for the same services provided in person. Excludes insurers Primary Sponsors from requiring prior authorization, medical review, or administrative Jason Saine, Donny Lambeth, Josh Dobson, Brenden Jones clearance for telehealth when otherwise not required. Forbids health benefit plans from excluding coverage for telehealth services solely because the services are not provided in person.

State Bill Number Last Action Status Position Priority FN Outlook PA HB 872 Referred To Insurance 2019 04 05 In House None None 4.5% 89.4%

Title Bill Summary: Authorizes professional licensing boards to create An Act relating to telemedicine; authorizing the regulation of regulations for the use of telemedicine and provides for insurance telemedicine by professional licensing boards; and providing for coverage of telemedicine services. insurance coverage of telemedicine.

Primary Sponsors Gary Day State Bill Number Last Action Status Position Priority VA SB 1221 Governor Acts Of Assembly Chapter Text Chap Enacted None None 0219 2019 03 05

Title Bill Summary: Requires insurers, corporations, or health maintenance Telemedicine services; payment and coverage of services. organizations to cover remote patient monitoring as part of telemedicine services to the full extent that those services are available. Description Telemedicine services; coverage. Requires insurers, corporations, or health maintenance organizations to cover medically necessary remote patient monitoring services as part of their coverage of telemedicine services to the full extent that these services are available. The bill defines remote patient monitoring services as the delivery of home health services using telecommunications technology to enhance the delivery of home health care, including monitoring of clinical patient data such as weight, blood pressure, pulse, pulse oximetry, blood glucose, and other condition-specific data; medication adherence monitoring; and interactive video conferencing with or without digital image upload. The bill requires the Board of Medical Assistance Services to include in the state plan for medical assistance services a provision for the payment of medical assistance for medically necessary health care services provided through telemedicine services. This bill is identical to HB 1970.

Primary Sponsors Ben Chafin

Provider-Patient Relationship (1)

State Bill Number Last Action Status Position Priority WV HB 3089 Filed For Introduction 2019 02 12 Failed sine die None None

Title Bill Summary: Amends the definition of "telemedicine" to include Modifying licensing requirements for the practice of telemedicine secure telephonic communication or similar secure real time audio- and surgery or podiatry only communication, secure real-time audio/video conferencing or similar video services. Adds that audio-only communication cannot be Primary Sponsors used to establish a physician-patient relationship if the provider determines interactive video or store-and-forward technology are necessary to conform to the standard of care.

Regulatory, Licensing & Advisory Boards (8) State Bill Number Last Action Status Position Priority KY HB 310 To Health And Family Services H 2019 02 12 Failed sine die None None

Title Bill Summary: Establishes sections on medication-assisted treatment AN ACT relating to medication-assisted treatment program program licensing and permits practitioners providing medication- licensing. assisted treatment to use telehealth if permitted under their scope of practice. Description Create new sections of KRS Chapter 222 to entitle this Act the "Medication-Assisted Treatment Program Licensing Act"; define terms; establish the licensure for opioid treatment programs; require oversight by the Department for Behavioral Health, Developmental and Intellectual Disabilities; set forth three licensure categories and the requirements for each; set forth the documentation required for applications; require inspections; establish the licensure for office-based medication-assisted treatment programs; require oversight by the Department for Behavioral Health, Developmental and Intellectual Disabilities; set forth three licensure categories and the requirements for each; set forth the documentation required for applications; require inspections; require registration with the Secretary of State and Department of Revenue; establish requirements for facility, medical director, and staff and qualifications; permit program participation in Medicaid and private insurance; require Drug Enforcement Administration, Substance Abuse and Mental Health Services Administration, and Center for Substance Abuse Treatment approval; require fingerprint-supported background checks through the Kentucky State Police and Federal Bureau of Investigation; require participation in the electronic monitoring system for controlled substances; establish requirements for the diagnosis, treatment, and associated documentation for a patient; set forth restrictions for facilities and operations and permit the Cabinet for Health and Family Services Secretary to grant waivers and variances from certain requirements; require the Department for Behavioral Health, Developmental and Intellectual Disabilities to inspect facilities and programs; establish parameters for license limitation, denial, suspension, and revocation; establish violations, penalties, and injunctions; require advertisement disclosure of the medical director; and require the promulgation of administrative regulations for the enforcement of this Act.

Primary Sponsors Chris Harris, , Terri Branham Clark, Derrick Graham, , Kathy Hinkle, , , Dean Schamore, , Cherlynn Stevenson, State Bill Number Last Action Status Position Priority MD SB 178 Approved By The Governor Chapter 275 2019 Enacted None None 04 30

Title Bill Summary: Requiring that regulations adopted under certain Outpatient Mental Health Centers – Medical Directors – Telehealth provisions of law regulating behavioral health programs include provisions authorizing a medical director of a behavioral health program Description located in a federally designated health professional shortage area to Requiring that regulations adopted under certain provisions of law provide services through telehealth; and prohibiting a behavioral health regulating behavioral health programs include provisions program located in a federally designated health professional shortage authorizing a behavioral health program licensed as an outpatient area from requiring a medical director to provide services on-site. mental health center to satisfy any regulatory requirement that a medical director be onsite through the use of telehealth by the director.

Primary Sponsors Addie Eckardt

State Bill Number Last Action Status Position Priority FN Outlook NJ A 5244 Introduced Referred To Assembly Health And In Assembly None None 6.0% 91.3% Senior Services Committee 2019 05 13

Title Bill Summary: Permits the use of telemedicine and telehealth in the Authorizes certain uses of telemedicine and telehealth in facilities delivery of services for persons with developmental disabilities and for persons with developmental disabilities and traumatic brain traumatic brain injury. injury.

Primary Sponsors Dan Benson, Joann Downey, Valerie Vainieri Huttle

State Bill Number Last Action Status Position Priority FN Outlook PA HB 872 Referred To Insurance 2019 04 05 In House None None 4.5% 89.4%

Title Bill Summary: Authorizes professional licensing boards to create An Act relating to telemedicine; authorizing the regulation of regulations for the use of telemedicine and provides for insurance telemedicine by professional licensing boards; and providing for coverage of telemedicine services. insurance coverage of telemedicine.

Primary Sponsors Gary Day State Bill Number Last Action Status Position Priority VA SB 1124 Senate Incorporated By Education And Health Failed None None Sb 1221 Chafin 15 Y 0 N 2019 01 24

Title Bill Summary: Establishes that the provisions of Chapter 29, on Telemedicine; physicians licensed in contiguous jurisdictions. medicine and other healing arts, shall not prevent or prohibit a person licensed in medicine or osteopathy from providing services to patients Description located in VA through the use of telemedicine. Telemedicine; physicians licensed in contiguous jurisdictions. Authorizes a person licensed to practice medicine or osteopathy who is in good standing with the applicable regulatory agency of a jurisdiction that is contiguous to the Commonwealth to provide health care services to patients located in the Commonwealth through use of telemedicine services.

Primary Sponsors Barbara Favola

State Bill Number Last Action Status Position Priority WV HB 2947 Chapter 197 Acts Regular Session 2019 2019 04 Enacted None None 11

Title Bill Summary: Permits a telemedicine physician to submit a Relating generally to telemedicine prescription practice prescription/order for a Schedule II pharmaceutical in a hospital requirements and exceptions setting for immediate administration.

Primary Sponsors Brandon Steele

State Bill Number Last Action Status Position Priority WV HB 3089 Filed For Introduction 2019 02 12 Failed sine die None None

Title Bill Summary: Amends the definition of "telemedicine" to include Modifying licensing requirements for the practice of telemedicine secure telephonic communication or similar secure real time audio- and surgery or podiatry only communication, secure real-time audio/video conferencing or similar video services. Adds that audio-only communication cannot be Primary Sponsors used to establish a physician-patient relationship if the provider Tim Miley determines interactive video or store-and-forward technology are necessary to conform to the standard of care.

State Bill Number Last Action Status Position Priority WV SB 464 On 3rd Reading 2019 02 27 Failed sine die None None

Title Bill Summary: Expands the definition of telemedicine to include Modifying licensing requirements for telemedicine and surgery or secure telephonic communication or similar secure real time audio- podiatry only communication and secure real-time audio/video conferencing or similar secure video services. Primary Sponsors Mid-Atlantic TRC Regulatory Update Aug 02, 2019 Total State Regs Exported : 27

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1 MD 19-127 Proposed Rule Regular Jul 05, 2019 1 Issues Cross-State Licensing Labels Title The Secretary of Health proposes to amend Regulations .01, .05, and .10 under COMAR 10.27.01 Examination and Licensure. This action was considered at a public meeting of the Board of Nursing on September 26, 2018, notice of which was given by publication on the Board’s website beginning January 1, 2018, through September 26, 2018, pursuant to General Provisions Article, §3-302(c), Annotated Code of Maryland. Agency Maryland Department Of Health (MD) Description The purpose of this action is to:(1) Amend the requirements for testing English competency of foreign nursing school graduates whose nursing education was not taught in English;(2) Repeal the waiver for a clinical nursing education requirement for a nurse applying for a license by endorsement in this State; (3) Define competency in reading, speaking, writing, and listening in accordance with the Nurse Licensure Compact. (4) Define the minimal passing scores for the two English language competency tests that the Board recognizes; and(5) Repeal, in accordance with the Sunset Provision, effective September 30, 2018, for Health Occupations Article, §8-307(c), Annotated Code of Maryland, the requirement that the Board waive the supervised clinical learning experience requirement for nurse endorsement applicants who attended a nursing program without a supervised clinical learning experience requirement. Regulation Summary Defines competency for reading, speaking, writing, and listening in accordance with the Nurse Licensure Compact.

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51 N.J.R. 2 NJ Proposed Rule Regular Jul 01, 2019 1 1088(a) Issues Regulatory, Licensing & Advisory Boards Labels Title State Board of Medical Examiners and State Acupuncture Examining Board: telemedicine Agency DIVISION OF CONSUMER AFFAIRS (NJ) Description Regulation Summary Establishes telemedicine practice standards for acupuncturists.

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51 N.J.R. 3 NJ Proposed Rule Regular Jul 01, 2019 1 1097(a) Issues Regulatory, Licensing & Advisory Boards Labels Title State Board of Social Work Examiners: telemedicine Agency DIVISION OF CONSUMER AFFAIRS (NJ) Description Regulation Summary Establishes telemedicine practice standards for Social Work Examiners.

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51 N.J.R. 4 NJ Proposed Rule Regular Jul 01, 2019 1 1094(a) Issues Regulatory, Licensing & Advisory Boards Labels Title State Board of Nursing: telemedicine Agency DIVISION OF CONSUMER AFFAIRS (NJ) Description Regulation Summary Establishes telemedicine practice standards for nurses.

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5 MD 19-119 Proposed Rule Regular Jun 21, 2019 1 Issues Regulatory, Licensing & Advisory Boards Labels Title The Secretary of Health proposes to adopt new Regulations .01—.06 under a new chapter, COMAR 10.42.10 Teletherapy. Agency Maryland Department Of Health (MD) Description The purpose of this action is to establish a new teletherapy chapter pursuant to Ch. 610, Acts of 2017. Regulation Summary Provides for licensure requirements and standards of practice for licensed certified social worker-clinicals (LCSW-C) and licensed masters social workers (LMSW) under the supervision of an LCSW-C to provide behavioral health services via telehealth.

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51 N.J.R. 6 NJ Proposed Rule Regular Jun 17, 2019 1 916(a) Issues Regulatory, Licensing & Advisory Boards Labels Title State Board of Medical Examiners: athletic trainers—telemedicine Agency DIVISION OF CONSUMER AFFAIRS (NJ) Description Regulation Summary Creates telemedicine practice standards for athletic trainers.

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51 N.J.R. 7 NJ Proposed Rule Regular Jun 17, 2019 1 919(a) Issues Regulatory, Licensing & Advisory Boards Labels Title State Board of Medical Examiners and Genetic Counseling Advisory Committee: genetic counselors—telemedicine Agency DIVISION OF CONSUMER AFFAIRS (NJ) Description Regulation Summary Creates telemedicine practice standards for genetic counselors.

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51 N.J.R. 8 NJ Proposed Rule Regular Jun 17, 2019 1 946(a) Issues Regulatory, Licensing & Advisory Boards Labels Title Orthotics and Prosthetics Board of Examiners: telemedicine Agency DIVISION OF CONSUMER AFFAIRS (NJ) Description Regulation Summary Creates telemedicine practice standards under the Orthotics and Prosthetics Board of Examiners.

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51 N.J.R. 9 NJ Proposed Rule Regular Jun 17, 2019 1 939(a) Issues Regulatory, Licensing & Advisory Boards Labels Title State Board of Veterinary Medical Examiners: telemedicine Agency DIVISION OF CONSUMER AFFAIRS (NJ) Description Regulation Summary Creates telemedicine practice standards for veterinarians.

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51 N.J.R. 10 NJ Proposed Rule Regular Jun 17, 2019 1 912(a) Issues Regulatory, Licensing & Advisory Boards Labels Title State Board of Medical Examiners: midwifery—telemedicine Agency DIVISION OF CONSUMER AFFAIRS (NJ) Description Regulation Summary Creates telemedicine practice standards for midwives.

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51 N.J.R. 11 NJ Proposed Rule Regular Jun 17, 2019 1 926(a) Issues Regulatory, Licensing & Advisory Boards Labels Title State Board of Physical Therapy Examiners: telemedicine Agency DIVISION OF CONSUMER AFFAIRS (NJ) Description Regulation Summary Establishes telemedicine practice standards for physical therapists.

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51 N.J.R. 12 NJ Proposed Rule Regular Jun 17, 2019 1 931(a) Issues Regulatory, Licensing & Advisory Boards Labels Title State Board of Psychological Examiners: telemedicine Agency DIVISION OF CONSUMER AFFAIRS (NJ) Description Regulation Summary Creates telemedicine practice standards for psychologists.

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51 N.J.R. 13 NJ Proposed Rule Regular Jun 17, 2019 1 934(a) Issues Regulatory, Licensing & Advisory Boards Labels Title Division of Consumer Affairs: Certified Psychoanalysts Advisory Committee—telemedicine Agency DIVISION OF CONSUMER AFFAIRS (NJ) Description Regulation Summary Creates telemedicine practice standards for certified pscyhoanalysts.

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14 MD 19-105 Proposed Rule Regular Jun 07, 2019 1 Issues Medicaid Reimbursement Labels Title The Secretary of Health proposes to amend Regulation .02, repeal existing Regulation .03, amend and recodify existing Regulations .04, .05, .07, .10, and .11 to be Regulations .03, .04, .06, .09, and .10, respectively, and recodify existing Regulations .06, .08, and .09 to be Regulations .05, .07, and .08, respectively, under COMAR 10.09.49 Telehealth Services. Agency Maryland Department Of Health (MD) Description The purpose of this action is to allow any and all provider types to receive reimbursement for services rendered via telehealth if the provider’s professional licensing board includes telehealth in its scope of practice. Additionally, this proposal aligns the delivery of telehealth services to that of services delivered in-person by removing the telehealth transmission fee that functions as an enhanced reimbursement for services delivered. Regulation Summary Permits all provider types to receive reimbursement for telehealth services when licensed and providing services within the scope of practice. Removes the telehealth transmission fee.

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15 DC N0083194 Proposed Rule Regular Jun 07, 2019 1 Issues Regulatory, Licensing & Advisory Boards Labels Title Health, Department of (DC Health) - Notice of Proposed Rulemaking - Comprehensive amendments to update nutrition regulation, including clarification of qualifications for licensure, scope of practice, professional standards, telepractice, and the requirement that ten percent (10%) of nutritionists' continuing education be in public health priorities as determined by the Department of Health Agency Health, Department of (DC) Description Regulation Summary Permits registered dietitions to engage in the tele-practice of dietetics to clients located within the District of Columbia when licensed in the District of Columbia or to clients located outside of the District of Columbia when meeting practice requirements of the jurisdiction in which the client is located.

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51 N.J.R. 16 NJ Proposed Rule Regular May 06, 2019 1 561(a) Issues Regulatory, Licensing & Advisory Boards Labels Title State Board of Medical Examiners: provision of health care services through telemedicine or telehealth Agency DIVISION OF CONSUMER AFFAIRS (NJ) Description Regulation Summary Would require physicians and podiatrists to hold a board-issued license when physically located in New Jersey and providing services via telehealth or telemedicine, or if they are physically located outside of New Jersey and providing services via telehealth or telemedicine. Would deem that a healthcare provider located outside of New Jersey, who is consulting with a New Jersey licensee, is not providing health care services in New Jersey and will not be required to obtain a state license.

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51 N.J.R. 17 NJ Proposed Rule Regular May 06, 2019 1 543(a) Issues Regulatory, Licensing & Advisory Boards Labels Title State Board of Marriage and Family Therapy Examiners: Art Therapists Advisory Committee rules Agency DIVISION OF CONSUMER AFFAIRS (NJ) Description Regulation Summary Implements provisions authorizing licensed healthcare providers to engage in telemedicine and telehealth.

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18 MD 19-069 Final Rule Regular Apr 12, 2019 2 Issues Regulatory, Licensing & Advisory Boards Labels Title The Secretary of Health proposes to repeal existing Regulations .01—.07 under COMAR 10.32.05 Telemedicine in their entirety and adopt new Regulations .01—.07 under a new chapter, COMAR 10.32.05 Telehealth. At this time the Secretary of Health is also withdrawing the proposal to repeal Regulations .01—.07 and adopt new Regulations .01—.07 under COMAR 10.32.05 Telehealth that was published in 45:24 Md. R. 1171—1172 (November 26, 2018).This action was considered at public meeting of the Board of Physicians on February 13, 2019, notice of which was provided by posting on the Board’s web... Agency Maryland Department Of Health (MD) Description Regulation Summary Repeals current telehealth regulations and adopts new regulations in its place, to authorize other health occupations under the Board's jurisdiction to do telehealth and to reflect technological innovations.

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19 MD 19-021 Final Rule Regular Jan 18, 2019 2 Issues Regulatory, Licensing & Advisory Boards Labels Title The Secretary of Health proposes to adopt new Regulations .01—.06 under a new chapter, COMAR 10.36.10 Telepsychology. At this time, the Secretary is also withdrawing new Regulations .01—.04 under a new chapter, COMAR 10.36.10 Telepsychology, as proposed in 45:2 Md. R. 114—115 (January 19, 2018). This action was considered by the Board of Psychologists at a public meeting held on November 2, 2018, notice of which was given by publication on the Board’s website at https://health.maryland.gov/psych/Pages/home.aspx pursuant to General Provisions Article, §3–302(c), Annotated Code of Maryla... Agency Maryland Department Of Health (MD) Description Regulation Summary Creates a new regulation to define telepsychology, requiring a psychologist to be registered and licensed in order to engage in telepsychology, and establish standards for the practice of telepsychology.

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20 MD 19-014 Final Rule Regular Jan 18, 2019 2 Issues Regulatory, Licensing & Advisory Boards Labels Title The Secretary of Health proposes to repeal in their entirety existing Regulations .01—.03 under COMAR 10.58.06 Licensure by Waiver and adopt new Regulations .01—.06 under a new chapter, COMAR 10.58.06 Teletherapy. This action was considered by the Board of Professional Counselors and Therapists at a public meeting held on October 19, 2018, notice of which was given by publication on the Board’s website at https://health.maryland.gov/bopc/Pages/index.aspx pursuant to General Provisions Article, §3–302(c), Annotated Code of Maryland. Agency Maryland Department Of Health (MD) Description Regulation Summary Creates a new regulation to define teletherapy and establish standards for the practice of teletherapy.

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21 MD 18-338 Final Rule Regular Dec 21, 2018 2 Issues Regulatory, Licensing & Advisory Boards Labels Title The Secretary of Health proposes to adopt new Regulations .01—.06 under a new chapter, COMAR 10.27.17 Teletherapy. This action was considered at a public meeting of the Board of Nursing held on September 26, 2018, notice of which was given by publication on the Board’s website beginning January 1, 2018, through September 26, 2018, pursuant to General Provisions Article, §3-302(c), Annotated Code of Maryland. Agency Maryland Department Of Health (MD) Description Regulation Summary Provides a definition for "teletherapy" and lists teletherapy practice standards pertaining to nursing.

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22 MD 18-344 Final Rule Regular Dec 21, 2018 2 Issues Regulatory, Licensing & Advisory Boards Labels Title The Secretary of Health proposes to amend Regulations .01—.06 under COMAR 10.27.06 Practice of Nurse Anesthetist. This action was considered at a public meeting of the Board of Nursing held on September 26, 2018, notice of which was given by publication on the Board’s website beginning January 1, 2018, through September 26, 2018, pursuant to General Provisions Article, §3-302(c), Annotated Code of Maryland. Agency Maryland Department Of Health (MD) Description Regulation Summary Permits the certification of Registered Nurse anesthetists licensed under the Nurse Licensure Compact.

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907 KAR 23 KY Proposed Rule Regular Dec 20, 2018 2 003:170 Issues Medicaid Reimbursement Labels Title Telehealth service coverage and reimbursement Agency Cabinet For Health And Family Services - Department For Medicaid Services (KY) Description Regulation Summary Amends definition for telehealth and specific criteria for its use under the Kentucky Medicaid program.

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24 DC N0075806 Proposed Rule Regular Nov 23, 2018 1 Issues Network Adequacy Labels Title Insurance, Securities and Banking, Department of - Notice of Proposed Rulemaking - To establish standards for health carrier provider networks that ensure adequacy and accessibility of health care services Agency Insurance, Securities and Banking, Department of (DC) Description Regulation Summary Requires health carriers to describe the extent to which they support the use of telemedicine or other technology to enhance network access within their Access Plan.

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201 KAR 25 KY Final Rule Regular Nov 09, 2018 2 032:110 Issues Regulatory, Licensing & Advisory Boards Labels Title Telehealth Agency Boards And Commissions (KY) Description Regulation Summary Amends administrative regulations governing telehealth in the provision of marriage and family therapy services.

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24 DE 26 DE Admin. Final Rule Regular Oct 01, 2018 3 Code 1900 Issues Cross-State Licensing Labels Title 1900 Board of Nursing Agency DEPARTMENT OF STATE (DE) Description Regulation Summary Revises regulations to conform to the Nurse Licensure Compact.

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27 MD 18-242 Final Rule Regular Sep 14, 2018 2 Issues Regulatory, Licensing & Advisory Boards, Medicaid Reimbursement Labels Title The Secretary of Health proposes to amend Regulations .04 and .07 under COMAR 10.09.59 Specialty Mental Health Services. Agency Maryland Department Of Health (MD) Description Regulation Summary Amends rules to allow a psychiatrist in the Assertive Community Treatment and Mobile Treatment to provide services via telehealth.

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