southeast trc july 2019 legislative update · southeast trc july 2019 legislative update last...

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Bills by Topic Bills by State Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama, Florida, Georgia & South Carolina. 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. All Bills by Topic Cross-State Licensing (12) 1 - Vetoed 7 - Failed 10 - Failed Sine Die 12 - Enacted

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Page 1: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

BillsbyTopic BillsbyState

SoutheastTRCJuly2019LegislativeUpdateLastUpdated:July12,2019

SoutheastTelehealthResourceCentercoversthestatesofAlabama,Florida,Georgia&SouthCarolina.Afewnotesaboutthisreport:

1. Billsareorganizedintospecifictelehealth"topicarea".2. TheFiscalNote(FN)Outlook:Thelefthandcolumnindicatesthebill'sPre-FloorScore,andtherighthandcolumnindicatesthebill'sactualFloorScoreofthelastchamberitwasin(eitherSenateorHouse).3. Regulationsarelistedattheendinorderoftheirpublicationdate.4. Ifyouwouldliketolearnmoreaboutanypieceoflegislationorregulation,thebillnumbersandregulationtitlesareclickableandlinkouttoadditionalinformation.

AllBillsbyTopic

Cross-StateLicensing(12)

1-Vetoed7-Failed10-FailedSineDie12-Enacted

Page 2: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitleNursing,Boardof,allowboardtoenterintotheEnhancedNurseLicensureCompact,Secs.34-21-20.01,34-21-120to34-21-130,inclusive,added;Secs.34-21-1,34-21-2,34-21-21,34-21-22,34-21-25am'd.

PrimarySponsorsAprilWeaver

BillSummary:AllowstheBoardofNursingtoentertheEnhancedNurseLicensureCompact.

TitleNursing,Boardof,allowboardtoenterintotheEnhancedNurseLicensureCompact,Secs.34-21-20.01,34-21-120to34-21-130,inclusive,added;Secs.34-21-1,34-21-2,34-21-21,34-21-22,34-21-25am'd.

PrimarySponsorsAprilWeaver

BillSummary:AmendssectionstopermittheboardtoenterintotheEnhancedNurseLicensureCompact.

TitleNursing,Boardof,allowboardtoenterintotheEnhancedNurseLicensureCompact,Secs.34-21-20.01,34-21-120to34-21-130,inclusive,added;Secs.34-21-1,34-21-2,34-21-21,34-21-22,34-21-25am'd.

PrimarySponsorsGregReed

BillSummary:AdoptstheEnhancedNurseLicensureCompact.

State

ALBillNumber

HB44LastAction

ReadForTheFirstTimeAndReferredToTheHouseOfRepresentativesCommitteeOnHealth20190305

Status

Failedsinedie

State

ALBillNumber

HB373LastAction

ReadForTheFirstTimeAndReferredToTheHouseOfRepresentativesCommitteeOnBoardsAgenciesAndCommissions20190409

Status

Failedsinedie

State

ALBillNumber

SB38LastAction

AssignedActNo201910220190430Status

Enacted

Page 3: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitleHealthCare:

DescriptionEstablishingtheDentalStudentLoanRepaymentProgramtosupportdentistswhopracticeinpublichealthprogramslocatedincertainunderservedareas;requiringtheDepartmentofHealthtoestablishtheDonatedDentalServicesProgramtoprovidecomprehensivedentalcaretocertaineligibleindividuals;requiringahospitaltonotifyapatient'sprimarycareproviderwithinaspecifiedtimeframeafterthepatient'sadmission;requiringalicensedfacility,uponplacingapatientonobservationstatus,toimmediatelynotifythepatientofsuchstatususingaspecifiedform;prohibitingcertainhealthmaintenanceorganizationsfromemployingstep-therapyprotocolsundercertaincircumstances,etc.

PrimarySponsorsAnaRodriguez,HouseCommitteeonHealthandHumanServices

BillSummary:RequirestheOfficeofProgramPolicyAnalysisandGovernmentAccountability tosubmitbyaspecifieddateareportandrecommendationstotheGovernorandtheLegislaturewhichaddressesFlorida'sprospectiveentranceintotheInterstateMedicalLicensureCompactasamemberstate.

TitleRegistrationFees:

DescriptionRequiresanout-of-statehealthcareprovidertopayanapplicationfeeandbiennialrenewalfeetoberegisteredtoprovidetelehealthservicesinthisstate.

PrimarySponsorsClayYarborough,SubcommitteeonHealthQuality

BillSummary:Establishesregistrationrequirementsforout-of-statetelehealthproviders,requiringaninitialregistrationfeeandbiennialrenewalfee.

TitleHealthCare

DescriptionRequiringaserviceprovidertofurnishandprovideaccesstoclinicalrecordswithinaspecifiedtimeframeafterreceivingarequestforsuchrecords;requiringalicensedfacilitytofurnishandprovideaccesstopatientrecordswithinaspecifiedtimeframeafterreceivingarequestforsuchrecords;requiringanursinghomefacilitytofurnishandprovideaccesstorecordswithinaspecifiedtimeframeafterreceivingarequest;requiringalicensedhospitaltoprovidespecifiedinformationanddatarelatingtopatientsafetyandqualitymeasurestoapatientundercertaincircumstancesortoanypersonuponrequest,etc.

PrimarySponsorsSenateCommitteeonHealthPolicy

BillSummary:AdoptstheInterstateMedicalLicensureCompactandprovidesrequirementsformultistatepracticeandtelemedicinepractice.

State

FLBillNumber

HB843LastAction

ChapterNo201913820190626Status

Enacted

State

FLBillNumber

HB7067LastAction

VetoedByGovernor20190627Status

Vetoed

State

FLBillNumber

SPB7078LastAction

Filed20190319Status

Failedsinedie

Page 4: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitlePsychologyInterjurisdictionalCompact;enterintoaninterstatecompact

DescriptionABILLtobeentitledanActtoamendChapter39ofTitle43oftheO.C.G.A.,relatingtopsychologists,soastoenterintoaninterstatecompactknownasthe"PsychologyInterjurisdictionalCompact";toauthorizetheStateBoardofExaminersofPsychologiststoadministerthecompactinthisstate;toreviseprovisionsrelatingtoexceptionstolicensure;toprovideforrelatedmatters;torepealconflictinglaws;andforotherpurposes.

PrimarySponsorsDaveBelton,BillHitchens,AlWilliams,ShawBlackmon,MikeGlanton,JoshBonner,BruceThompson

BillSummary:EntersGeorgiaintothePsychologyInterjurisdictionalCompact.

TitlePhysicalTherapyLicensureCompactAct;enterintoaninterstatecompact

DescriptionABILLtobeentitledanActtoamendChapter33ofTitle43oftheOfficialCodeofGeorgiaAnnotated,relatingtophysicaltherapists,soastoreviselicensingprovisions;toenterintoaninterstatecompactknownasthe"PhysicalTherapyLicensureCompactAct";toauthorizetheStateBoardofPhysicalTherapytoadministerthecompactinthisstate;toprovidedefinitions;toprovideforcriminalhistoryrecordschecksforlicensingpurposes;toprovideforconditions;toprovideforeligibility;toprovideforrelatedmatters;torepealconflictinglaws;andforotherpurposes.

PrimarySponsorsDaveBelton,BillHitchens,AlWilliams,ShawBlackmon,BrianPrince,DavidClark,BruceThompson

BillSummary:EntersGeorgiaintothePhysicalTherapyLicensureCompact.

State

GABillNumber

HB26LastAction

Act3620190424Status

Enacted

State

GABillNumber

HB39LastAction

EffectiveDate20190702Status

Enacted

Page 5: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

Title"InterstateMedicalLicensureCompactAct"

DescriptionABILLtobeentitledanActtoamendChapter34ofTitle43oftheO.C.G.A.,relatingtophysicians,assistants,andothers,soastoenterintoaninterstatecompactknownasthe"InterstateMedicalLicensureCompactAct";toauthorizetheGeorgiaCompositeMedicalBoardtoadministerthecompactinthisstate;torequirefingerprintrecordschecks;toprovideforapplicationofanexpeditedlicense;toprovideforacoordinatedinformationsystem;toprovideforjointinvestigationsanddiscipline;toprovideforacommissiontoadministerthecompactamongthememberstates;toprovidefordisputeresolution;toprovideforwithdrawalfromthecompact;toprovideforconstruction;toprovideforrelatedmatters;torepealconflictinglaws;andforotherpurposes.

PrimarySponsorsKayKirkpatrick,ChuckHufstetler,BenWatson,DeanBurke,FrankGinn,JohnAlbers,NanOrrock,GregDolezal,P.K.Martin,JeffMullis,BurtJones,JohnKennedy,GregKirk,LarryWalker,DocRhett,BrandonBeach,SteveHenson,NikemaWilliams,TylerHarper,EmanuelJones,ValenciaSeay,DonzellaJames,DebSilcox

BillSummary:EntersGeorgiaintotheInterstateMedicalLicensureCompact.

Title"MedicalPracticeActoftheStateofGeorgia";telemedicinelicensesforphysiciansinotherstates;engageinthepracticeofmedicinewithpatientsinthisstatethroughtelemedicine;provide

DescriptionABILLtobeentitledanActtoamendArticle2ofChapter34ofTitle43oftheOfficialCodeofGeorgiaAnnotated,relatingtothe"MedicalPracticeActoftheStateofGeorgia,"soastoprovidefortelemedicinelicensesforphysicianslicensedinotherstatestoengageinthepracticeofmedicinewithpatientsinthisstatethroughtelemedicine;toprovideforrequirementsforissuanceofatelemedicinelicense;toprovideforrestrictions;toprovidefornoticeofrestrictionsplacedonalicensebyanotherstate;toprovideforrulesandregulations;toprovideforrevocation;toprovideforrelatedmatters;torepealconflictinglaws;andforotherpurposes.

PrimarySponsorsReneeUnterman,LarryWalker,DeanBurke,BrandonBeach,SteveGooch,JeffMullis,SharonCooper

BillSummary:ProvidesfortelemedicinelicensesforphysicianslicensedinotherstatestoengageinthepracticeofmedicinewithpatientsinGeorgiathroughtelemedicine.

State

GABillNumber

SB16LastAction

EffectiveDate20190702Status

Enacted

State

GABillNumber

SB115LastAction

EffectiveDate20190702Status

Enacted

Page 6: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitleInterstateMedicalLicensureCompact

DescriptionABillToAmendTheCodeOfLawsOfSouthCarolina,1976,ToEnactThe"InterstateMedicalLicensureCompact"ByAddingArticle3ToChapter47,Title40SoAsToProvideForTheEntryOfSouthCarolinaIntoAMultistatePhysicianLicensureCompact,ToProvideForTheReciprocalPracticeOfMedicineAmongTheStatesThatArePartiesToTheCompact,ToProvideStandardsAndProceduresApplicableToPracticingMedicineInOtherStatesPursuantToTheCompact,ToProvideForACoordinatedLicensureInformationSystemForSharingDataAmongCompactStates,AndToProvideProceduresForDisputeResolutions,DisciplinaryActions,AndTerminationOfMemberships.

PrimarySponsorsMurrellSmith

BillSummary:EntersSouthCarolinaintotheInterstateMedicalLicensureCompact.

TitleInterstateMedicalLicensureCompact

DescriptionABillToAmendTheCodeOfLawsOfSouthCarolina,1976,ToEnactThe"InterstateMedicalLicensureCompact"ByAddingArticle3ToChapter47,Title40SoAsToProvideForTheEntryOfSouthCarolinaIntoAMultistatePhysicianLicensureCompact,ToProvideForTheReciprocalPracticeOfMedicineAmongTheStatesThatArePartiesToTheCompact,ToProvideStandardsAndProceduresApplicableToPracticingMedicineInOtherStatesPursuantToTheCompact,ToProvideForACoordinatedLicensureInformationSystemForSharingDataAmongCompactStates,AndToProvideProceduresForDisputeResolutions,DisciplinaryActions,AndTerminationOfMemberships.

PrimarySponsorsScottTalley

BillSummary:EntersSCintotheInterstateMedicalLicensureCompact.

State

SCBillNumber

H3101LastAction

ReferredToCommitteeOnMedicalAffairsSenateJournalPage820190228

Status

Failedsinedie

State

SCBillNumber

S320LastAction

ReferredToCommitteeOnMedicalAffairsSenateJournalPage18220190108

Status

Failedsinedie

Demonstrations,Grants&PilotProjects(5)

Page 7: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitleHealthcareInnovation:

DescriptionEstablishesPhysicianFeeSharingTaskForcewithinDOH;providesforduties,membership,&meetingsoftaskforce;requiresreporttoGovernor&Legislaturebyspecifieddate;providesforexpirationoftaskforce.

PrimarySponsorsJ.W.Grant

BillSummary:EstablishesthePhysicianFeeSharingTaskForcewithintheDepartmentofHealth.Tworepresentativesonthetaskforcefromcompaniesinvolvedinthedeploymentofsmartmedicaldevices,suchasremotepatientmonitoringarerequired.

TitleMentalHealth&TelehealthServicesforChildren&FamiliesimpactedbyHurricaneMichael:

DescriptionProvidesanappropriationfortheMentalHealth&TelehealthServicesforChildren&FamiliesimpactedbyHurricaneMichael.

PrimarySponsorsLoranneAusley

BillSummary:AppropriatesfundstotheDepartmentofChildrenandFamiliestofundtheMentalHealthandTelehealthServicesforChildrenandFamiliesimpactedbyHurricaneMichael.

TitleOkaloosaTele-healthServicesPilot:

DescriptionProvidesanappropriationfortheOkaloosaTele-healthServicesPilot.

PrimarySponsorsMelPonder

BillSummary:ProvidesanappropriationfortheOkaloosaTelehealthServicesPilot.

State

FLBillNumber

HB503LastAction

DiedInHealthQualitySubcommittee20190503

Status

Failed

State

FLBillNumber

HB2683LastAction

SeeSb2500LineItem2314A20190504Status

Failedsinedie

State

FLBillNumber

HB3355LastAction

SeeSb2500LineItem37320190504Status

Failedsinedie

Page 8: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitleMiamiJewishHealthSystemMemoryDisorderTelemedicineProgram:

DescriptionProvidesanappropriationfortheMiamiJewishHealthSystemMemoryDisorderTelemedicineProgram.

PrimarySponsorsAnaRodriguez

BillSummary:AllocatesfundingtotheDepartmentofElderAffairsfortheMiamiJewishHealthSystemMemoryDisorderTelemedicineProgram.

TitleHealthInsurance:

DescriptionAuthorizingtheinclusioninthestategroupinsuranceprogramofproductsandservicesofferedbyentitiesprovidingoptionalparticipationintheMedicareAdvantagePrescriptionDrugPlan;requiringtheDepartmentofManagementServicestoimplementformularymanagementcost-savingmeasuresbeginningwiththe2020planyear;creatingthe"PatientSavingsAct";authorizinghealthinsurers,whichincludehealthmaintenanceorganizations,tooffersharedsavingsincentiveprogramstoinsureds,etc.

PrimarySponsorsMannyDiaz,SenateCommitteeonAppropriations,SenateCommitteeonBankingandInsurance

BillSummary:Includestelehealthservicesinaninsurers'HealthInsuranceSavingsProgramasa"shoppablehealthcareservice"forwhichincentivescanbeprovidedtotheinsured.

TitleMedicalServicesandInsurance:

DescriptionRequiringtheDepartmentofHealthtoadoptstatewidefeeschedulesforservices,supplies,andcareprovidedinhospitalsandambulatorysurgicalcenters;providingrequirementsforspecifiedlicensedmedicalprofessionalsfordiagnostictestingandtreatmentplans;revisingthemedicalbenefitsrequirementsunderpersonalinjuryprotectioncoverage,etc.

PrimarySponsorsKeithPerry

BillSummary:Permitsservicesandcarerenderedduringaninteractiontodetermineanemergencymedicalconditionmaybereimbursedwhenperformedinatraditionalofficeorfacilityvisitorviatelemedicine.

State

FLBillNumber

HB4649LastAction

DiedInAppropriationsCommittee20190504Status

Failed

State

FLBillNumber

SB524LastAction

LaidOnTableReferToCsHb1113Sj61920190430

Status

Failedsinedie

MedicaidReimbursement(1)

State

FLBillNumber

SB1790LastAction

DiedInHealthPolicy20190503Status

Failed

NetworkAdequacy(1)

Page 9: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitleTelehealth:

DescriptionEstablishingstandardsofpracticefortelehealthproviders;providingthatanonphysiciantelehealthproviderusingtelehealthandactingwithinhisorherrelevantscopeofpracticeisnotdeemedtobepracticingmedicinewithoutalicense;prohibitingacontractbetweenacertainhealthinsurerandatelehealthproviderfromrequiringthetelehealthprovidertobereimbursedatlesseramountthaniftheservicewereprovidedinperson;prohibitingacontractbetweenacertainhealthmaintenanceorganizationandatelehealthproviderfromrequiringthetelehealthprovidertobereimbursedatlesseramountthaniftheservicewereprovidedin-person,etc.

PrimarySponsorsGayleHarrell,SenateCommitteeonAppropriations

BillSummary:Establishesprovisionsrelatedtotelehealth.ProhibitsMedicaidmanagedcareplansfromusingproviderswhoexclusivelyprovideservicesthroughtelehealthtoachievenetworkadequacy.Definestheterms "telehealth"and"telehealthprovider."Createspracticestandardsfortelehealthservicesandproviders.Prohibitstelehealthprovidersfromusingtelehealthtoprescribeacontrolledsubstance.Providescertainexceptions.

TitleTelehealth:

DescriptionEstablishesstandardofcarefortelehealthproviders;authorizesuseoftelehealthtoperformpatientevaluations;providesthattelehealthproviders,undercertaincircumstances,arenotrequiredtoresearchpatient'shistoryorconductphysicalexambeforeprovidingservices;providessituationswhenuseoftelehealthisnotdeemedtobepracticingmedicinewithoutalicense;authorizescertainproviderstousetelehealthtoprescribespecifiedcontrolledsubstances;requiresDOHtodevelop&disseminateeducationalmaterialstospecifiedlicenses;providesrecordkeepingrequirements;providespatientconsentrequirements.

PrimarySponsorsLoranneAusley

BillSummary:Establishesstandardsofcarefortelehealth,authorizesproviderstousetelehealthtoperformpatientevaluations.Allowstelehealthproviders,undercertaincircumstances,tonotberequiredtoresearchapatient'shistoryorconductaphysicalexaminationpriortoprovidingservicesviatelehealth.Permitsnonphysiciantelehealthproviderstousetelehealthwhileactingwithinthescopeoftheirpracticewithoutbeingdeemedtobepracticingmedicinewithoutalicense.Authorizescertaintelehealthproviderstoprescribespecifiedcontrolledsubstancesviatelehealth.

State

FLBillNumber

SB1526LastAction

LaidOnTableReferToCsCsHb23Sj52320190426

Status

Failedsinedie

OnlinePrescribing(4)

State

FLBillNumber

HB947LastAction

DiedInHealthQualitySubcommittee20190503

Status

Failed

Page 10: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitleTelehealth:

DescriptionEstablishingstandardsofpracticefortelehealthproviders;providingthatanonphysiciantelehealthproviderusingtelehealthandactingwithinhisorherrelevantscopeofpracticeisnotdeemedtobepracticingmedicinewithoutalicense;prohibitingacontractbetweenacertainhealthinsurerandatelehealthproviderfromrequiringthetelehealthprovidertobereimbursedatlesseramountthaniftheservicewereprovidedinperson;prohibitingacontractbetweenacertainhealthmaintenanceorganizationandatelehealthproviderfromrequiringthetelehealthprovidertobereimbursedatlesseramountthaniftheservicewereprovidedin-person,etc.

PrimarySponsorsGayleHarrell,SenateCommitteeonAppropriations

BillSummary:Establishesprovisionsrelatedtotelehealth.ProhibitsMedicaidmanagedcareplansfromusingproviderswhoexclusivelyprovideservicesthroughtelehealthtoachievenetworkadequacy.Definestheterms "telehealth"and"telehealthprovider."Createspracticestandardsfortelehealthservicesandproviders.Prohibitstelehealthprovidersfromusingtelehealthtoprescribeacontrolledsubstance.Providescertainexceptions.

State

FLBillNumber

SB1526LastAction

LaidOnTableReferToCsCsHb23Sj52320190426

Status

Failedsinedie

Page 11: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitlePAActof2019

DescriptionABillToAmendTheCodeOfLawsOfSouthCarolina,1976,ToEnactThe"PaActOf2019"ByAddingSection40-47-936SoAsToProvideCertainOrdersPhysicianAssistantsMayPlaceToBePerformedByLicensedPersonnelPursuantToTheScopeOfPracticeOfThePhysicianAssistant;ByAddingSection40-47-1025SoAsToProvideCertainProvisionsMayNotBeConstruedToLimitTheEmploymentArrangementOfPhysicianAssistants;ByAddingSection40-47-1030SoAsToProvideTheBoardOfMedicalExaminersMayApprovePhysicianAssistantsToEnterIntoNondisciplinaryAlternativeProgramsAndToProvideConfidentialityOfRelatedRecords;ByAddingSection40-47-1035SoAsToProvidePhysicianAssistantsMayBeConsideredPrimaryCareProvidersOrMentalHealthProvidersWhenPracticingInTheMedicalSpecialtiesRequiredForPhysiciansToBePrimaryCareProvidersOrMentalHealthProviders,AndToClarifyTheAffectOnRelatedWorkingRelationshipsAndScopesOfPractice;ByAddingSection40-47-1040SoAsToProvideTheBoardMayMakeSpecialProvisionsForLicensuresOfApplicantsWhoHaveBeenClinicallyInactiveForMoreThanTwenty-FourMonths,ToProvideRequirementsForTheseSpecialProvisions,AndToProvidePhysicianAssistantsWhoHaveBeenFull-TimeEmployeesOfCertainAccreditedEducationalProgramsMayNotBeConsideredToHaveBeenClinicallyInactiveForLicensureOrLicenseRenewalPurposes;ToAmendSection40-47-195,AsAmended,RelatingToSupervisingPhysiciansInScopeOfPractices,SoAsToReviseRelatedRequirements;ToAmendSection40-47-20,AsAmended,RelatingToDefinitionsConcerningPhysiciansAndMiscellaneousHealthCareProfessionals,SoAsToReviseNecessaryTerms;ToAmendSection40-47-113,RelatingToTheEstablishmentOfPhysician-PatientRelationships,SoAsToMakeAConformingChange;ToAmendSection40-47-910,RelatingToDefinitionsInThePhysicianAssistantsPracticeAct,SoAsToReviseAndProvideNecessaryDefinitions;ToAmendSection40-47-915,RelatingToTheApplicabilityOfThePhysicianAssistantsPracticeAct,SoAsToReviseTheCriteriaForPersonsSubjectToTheAct;ToAmendSection40-47-925,RelatingToThePhysicianAssistantAdvisoryCommitteeToTheBoard,SoAsToMakeConformingChanges;ToAmendSection40-47-930,RelatingToThePowersAndDutiesOfTheCommitteeAndBoard,SoAsToReviseTheRequirementsAndMakeConformingChanges;ToAmendSection40-47-935,AsAmended,RelatingToActsAndDutiesThatPhysicianAssistantsAreAuthorizedToPerform,SoAsToExpandTheRangeOfTheseActsAndDuties;ToAmendSection40-47-938,RelatingToSupervisoryRelationships,SoAsToReviseTheRequirementsForTheseRelationships;ToAmendSection40-47-940,RelatingToTheLicensureAppli...(clickbilllinktoseemore).

PrimarySponsorsGaryClary

BillSummary:Establishesrequirementsforphysicianassistantsutilizingtelemedicine,includingestablishingapatientrelationshipandprescribing.

State

SCBillNumber

H3399LastAction

MemberSRequestNameAddedAsSponsorAtkinson20190212

Status

Failedsinedie

Page 12: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitlePAActof2019

DescriptionAnActToAmendSection40-47-195,CodeOfLawsOfSouthCarolina,1976,RelatingToPhysicianSupervisionOfCertainPractitioners,SoAsToMakeVariousChangesConcerningScopeOfPracticeGuidelines;AndToAmendArticle7,Chapter47,Title40,RelatingToTheSouthCarolinaPhysicianAssistantsPracticeAct,SoAsToReviseTheArticleInItsEntirety.-RatifiedTitle

PrimarySponsorsTomDavis

BillSummary:Establishesrequirementsforphysicianassistantsutilizingtelemedicine,includingestablishingapatientrelationshipandprescribing.

TitleHealthInsurance:

DescriptionRequiringhealthmaintenanceorganizationtobecost-effectiveandtoofferhighvalue;authorizingtheDepartmentofManagementServicestolimitthenumberofHMOsthatitcontractswithineachregion;authorizingtheDepartmentofManagementServicestolimitthenumberofHMOsthatitcontractswithineachregion;requiringthedepartmenttooffer,asavoluntarysupplementalbenefitoption,certaininternationalprescriptionservices;authorizingindividualandgrouphealthinsurersandhealthmaintenanceorganizationstooffersharedsavingsincentiveprogramstoinsuredsandsubscribers,etc.

PrimarySponsorsPaulRenner,SubcommitteeonHealthMarketReform

BillSummary:Defines"shoppablehealthcareservice"whichisalower-cost,high-qualitynonemergencyhealthcareserviceforwhichsharedsavingsincentiveisavailableforinsuredsunderahealthinsurer'ssharedsavingsincentiveprogram.Servicesprovidedthroughtelehealthareincludedinthisdefinition.

State

SCBillNumber

S132LastAction

ActNo3220190521Status

Enacted

Other(2)

State

FLBillNumber

HB1113LastAction

ChapterNo201910020190612Status

Enacted

Page 13: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitleTaxation:

DescriptionRevisingthedefinitionoftheterm“inventory,”forpurposesofadvaloremtaxationexceptforschooldistrictlevies,toincludecertainconstructionequipmentownedbyaheavyequipmentrentaldealer;increasingthediscountundertheaffordablehousingpropertyexemption;renamingtheterm“mailordersale”as“remotesale”andrevisingthedefinition;providingasalestaxrefundtoaneligiblejobtrainingorganizationonitssalesofgoodsdonatedtotheorganization,etc.

PrimarySponsorsJoeGruters,SenateCommitteeonFinanceandTax

BillSummary:Createsataxcreditforhealthinsurersandhealthmaintenanceorganizationscoveringservicesprovidedviatelehealth.Thecreditwouldbeequalto0.1percentoftotalinsurancepremiumsreceivedinthepreviousyear.

TitleInsurance;GeorgiaTelemedicineAct;modernize;TelemedicineActtheTelehealthAct;rename

DescriptionABILLtobeentitledanActtoamendArticle1ofChapter24ofTitle33oftheOfficialCodeofGeorgiaAnnotated,relatingtoinsurancegenerally,soastomodernizetheGeorgiaTelemedicineAct;torenametheTelemedicineActtheTelehealthAct;torevisethedefinitionoftelemedicine;toprovideadefinitionoftelehealth;toprohibitinsurersfromrequiringinsuredstousetelemedicine;toprovideforpayequityforhealthcareprovidersusingtelemedicine;toprovideforrelatedmatters;toprovideaneffectivedate;torepealconflictinglaws;andforotherpurposes.

PrimarySponsorsReneeUnterman,ChuckHufstetler,DeanBurke,LarryWalker,GregKirk,FreddieSims,ValenciaSeay,GloriaButler,SteveHenson,BrandonBeach,SteveGooch,JeffMullis,DarleneTaylor

BillSummary:RevisestheGeorgiaTelemedicineAct.Renamestheactasthe "TelehealthAct."Revisesdefinitionof"telemedicine"andprovidesanewdefinitionof"telehealth."Prohibitsinsurersfromrequiringenrolleestousetelemedicine.Createspaymentequityforprovidersusingtelemedicine.

State

FLBillNumber

SB1112LastAction

DiedInAppropriations20190503Status

Failed

PrivatePayerReimbursement(2)

State

GABillNumber

SB118LastAction

EffectiveDate20200102Status

Enacted

Page 14: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitleInsurance;modernizationandupdates;provide

DescriptionABILLtobeentitledanActtoamendTitle33oftheOfficialCodeofGeorgiaAnnotated,relatingtoinsurance,soastoprovideformodernizationandupdates;toamendvariousprovisionsoftheOfficialCodeofGeorgiaAnnotatedforpurposesofconformity;toprovideforrelatedmatters;torepealconflictinglaws;andforotherpurposes.

PrimarySponsorsMartyHarbin,BurtJones,LarryWalker,RichardSmith

BillSummary:MakesadjustmentstoGeorgia'stelehealthcoveragelaw,eliminatingoutdatedinformation.

State

GABillNumber

SB133LastAction

EffectiveDate20190702Status

Enacted

Provider-PatientRelationship(2)

Page 15: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitlePAActof2019

DescriptionABillToAmendTheCodeOfLawsOfSouthCarolina,1976,ToEnactThe"PaActOf2019"ByAddingSection40-47-936SoAsToProvideCertainOrdersPhysicianAssistantsMayPlaceToBePerformedByLicensedPersonnelPursuantToTheScopeOfPracticeOfThePhysicianAssistant;ByAddingSection40-47-1025SoAsToProvideCertainProvisionsMayNotBeConstruedToLimitTheEmploymentArrangementOfPhysicianAssistants;ByAddingSection40-47-1030SoAsToProvideTheBoardOfMedicalExaminersMayApprovePhysicianAssistantsToEnterIntoNondisciplinaryAlternativeProgramsAndToProvideConfidentialityOfRelatedRecords;ByAddingSection40-47-1035SoAsToProvidePhysicianAssistantsMayBeConsideredPrimaryCareProvidersOrMentalHealthProvidersWhenPracticingInTheMedicalSpecialtiesRequiredForPhysiciansToBePrimaryCareProvidersOrMentalHealthProviders,AndToClarifyTheAffectOnRelatedWorkingRelationshipsAndScopesOfPractice;ByAddingSection40-47-1040SoAsToProvideTheBoardMayMakeSpecialProvisionsForLicensuresOfApplicantsWhoHaveBeenClinicallyInactiveForMoreThanTwenty-FourMonths,ToProvideRequirementsForTheseSpecialProvisions,AndToProvidePhysicianAssistantsWhoHaveBeenFull-TimeEmployeesOfCertainAccreditedEducationalProgramsMayNotBeConsideredToHaveBeenClinicallyInactiveForLicensureOrLicenseRenewalPurposes;ToAmendSection40-47-195,AsAmended,RelatingToSupervisingPhysiciansInScopeOfPractices,SoAsToReviseRelatedRequirements;ToAmendSection40-47-20,AsAmended,RelatingToDefinitionsConcerningPhysiciansAndMiscellaneousHealthCareProfessionals,SoAsToReviseNecessaryTerms;ToAmendSection40-47-113,RelatingToTheEstablishmentOfPhysician-PatientRelationships,SoAsToMakeAConformingChange;ToAmendSection40-47-910,RelatingToDefinitionsInThePhysicianAssistantsPracticeAct,SoAsToReviseAndProvideNecessaryDefinitions;ToAmendSection40-47-915,RelatingToTheApplicabilityOfThePhysicianAssistantsPracticeAct,SoAsToReviseTheCriteriaForPersonsSubjectToTheAct;ToAmendSection40-47-925,RelatingToThePhysicianAssistantAdvisoryCommitteeToTheBoard,SoAsToMakeConformingChanges;ToAmendSection40-47-930,RelatingToThePowersAndDutiesOfTheCommitteeAndBoard,SoAsToReviseTheRequirementsAndMakeConformingChanges;ToAmendSection40-47-935,AsAmended,RelatingToActsAndDutiesThatPhysicianAssistantsAreAuthorizedToPerform,SoAsToExpandTheRangeOfTheseActsAndDuties;ToAmendSection40-47-938,RelatingToSupervisoryRelationships,SoAsToReviseTheRequirementsForTheseRelationships;ToAmendSection40-47-940,RelatingToTheLicensureAppli...(clickbilllinktoseemore).

PrimarySponsorsGaryClary

BillSummary:Establishesrequirementsforphysicianassistantsutilizingtelemedicine,includingestablishingapatientrelationshipandprescribing.

State

SCBillNumber

H3399LastAction

MemberSRequestNameAddedAsSponsorAtkinson20190212

Status

Failedsinedie

Page 16: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitlePAActof2019

DescriptionAnActToAmendSection40-47-195,CodeOfLawsOfSouthCarolina,1976,RelatingToPhysicianSupervisionOfCertainPractitioners,SoAsToMakeVariousChangesConcerningScopeOfPracticeGuidelines;AndToAmendArticle7,Chapter47,Title40,RelatingToTheSouthCarolinaPhysicianAssistantsPracticeAct,SoAsToReviseTheArticleInItsEntirety.-RatifiedTitle

PrimarySponsorsTomDavis

BillSummary:Establishesrequirementsforphysicianassistantsutilizingtelemedicine,includingestablishingapatientrelationshipandprescribing.

TitleTelehealth:

DescriptionEstablishingstandardsofpracticefortelehealthproviders;authorizingcertaintelehealthproviderstousetelehealthtoprescribecertaincontrolledsubstancesunderspecifiedcircumstances;providingregistrationrequirementsforout-of-statetelehealthproviders,etc.

PrimarySponsorsClayYarborough,HouseCommitteeonHealthandHumanServices,HouseCommitteeonWaysandMeans

BillSummary:Establishesstandardsofpracticefortelehealthproviders,authorizestheuseoftelehealthforpatientevaluations,andprovidesrequirementsforout-of-statetelehealthproviders,amongotherchanges.

TitleEmergencyMedicalServices:

DescriptionAuthorizesparamedicsoremergencymedicaltechnicianstoprovideothertreatment&transportoptions;providesimmunityfromliabilityforcertainmedical&lawenforcementpersonnelprovidingemergencyexamination&treatmentofincapacitatedpersonsincertaincircumstances;authorizescertifiedparamedictoadministercontrolledsubstanceundercertaincircumstances.

PrimarySponsorsBruceAntone

BillSummary:RequirestheDepartmentofHealthtoadoptrulesgoverningtheuseoftelemedicinebycertainlicensees.

State

SCBillNumber

S132LastAction

ActNo3220190521Status

Enacted

Regulatory,Licensing&AdvisoryBoards(8)

State

FLBillNumber

HB23LastAction

ChapterNo201913720190626Status

Enacted

State

FLBillNumber

HB931LastAction

DiedInHealthQualitySubcommittee20190503

Status

Failed

Page 17: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitleTelehealth:

DescriptionEstablishesstandardofcarefortelehealthproviders;authorizesuseoftelehealthtoperformpatientevaluations;providesthattelehealthproviders,undercertaincircumstances,arenotrequiredtoresearchpatient'shistoryorconductphysicalexambeforeprovidingservices;providessituationswhenuseoftelehealthisnotdeemedtobepracticingmedicinewithoutalicense;authorizescertainproviderstousetelehealthtoprescribespecifiedcontrolledsubstances;requiresDOHtodevelop&disseminateeducationalmaterialstospecifiedlicenses;providesrecordkeepingrequirements;providespatientconsentrequirements.

PrimarySponsorsLoranneAusley

BillSummary:Establishesstandardsofcarefortelehealth,authorizesproviderstousetelehealthtoperformpatientevaluations.Allowstelehealthproviders,undercertaincircumstances,tonotberequiredtoresearchapatient'shistoryorconductaphysicalexaminationpriortoprovidingservicesviatelehealth.Permitsnonphysiciantelehealthproviderstousetelehealthwhileactingwithinthescopeoftheirpracticewithoutbeingdeemedtobepracticingmedicinewithoutalicense.Authorizescertaintelehealthproviderstoprescribespecifiedcontrolledsubstancesviatelehealth.

TitleEmergencyMedicalServices:

DescriptionAuthorizingaparamedicoremergencymedicaltechniciantoprovideothertreatmentandtransportoptions;providingimmunityfromliabilityforcertainmedicalandlawenforcementpersonnelprovidingemergencyexaminationandtreatmentofincapacitatedpersonsincertaincircumstances;authorizingacertifiedparamedictoadministeracontrolledsubstanceonlyunderthesupervisionofcertainhealthcarepractitioners,etc.

PrimarySponsorsDarrylRouson

BillSummary:RequirestheDepartmentofHealthtoadoptrulesgoverningtheuseoftelemedicinebycertainlicensees.

State

FLBillNumber

HB947LastAction

DiedInHealthQualitySubcommittee20190503

Status

Failed

State

FLBillNumber

SB1182LastAction

DiedInHealthPolicy20190503Status

Failed

Page 18: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitleTelehealth:

DescriptionEstablishingstandardsofpracticefortelehealthproviders;providingthatanonphysiciantelehealthproviderusingtelehealthandactingwithinhisorherrelevantscopeofpracticeisnotdeemedtobepracticingmedicinewithoutalicense;prohibitingacontractbetweenacertainhealthinsurerandatelehealthproviderfromrequiringthetelehealthprovidertobereimbursedatlesseramountthaniftheservicewereprovidedinperson;prohibitingacontractbetweenacertainhealthmaintenanceorganizationandatelehealthproviderfromrequiringthetelehealthprovidertobereimbursedatlesseramountthaniftheservicewereprovidedin-person,etc.

PrimarySponsorsGayleHarrell,SenateCommitteeonAppropriations

BillSummary:Establishesprovisionsrelatedtotelehealth.ProhibitsMedicaidmanagedcareplansfromusingproviderswhoexclusivelyprovideservicesthroughtelehealthtoachievenetworkadequacy.Definestheterms "telehealth"and"telehealthprovider."Createspracticestandardsfortelehealthservicesandproviders.Prohibitstelehealthprovidersfromusingtelehealthtoprescribeacontrolledsubstance.Providescertainexceptions.

TitleGeorgiaOccupationalTherapyPracticeAct;enact

DescriptionABILLtobeentitledanActtoamendTitle43oftheO.C.G.A.,relatingtoprofessionsandbusinesses,soastoupdateandrevisevariousprovisionsrelatingtooccupationaltherapists;toprovideforrelatedmatters;torepealconflictinglaws;andforotherpurposes.

PrimarySponsorsLeeHawkins,KarenBennett,KarenMathiak,BillWerkheiser,JohnLaHood,KayKirkpatrick

BillSummary:Includestelehealthinthepracticeofoccupationaltherapyandprovidesadefinition.

State

FLBillNumber

SB1526LastAction

LaidOnTableReferToCsCsHb23Sj52320190426

Status

Failedsinedie

State

GABillNumber

HB253LastAction

EffectiveDate20190702Status

Enacted

Page 19: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitlePAActof2019

DescriptionABillToAmendTheCodeOfLawsOfSouthCarolina,1976,ToEnactThe"PaActOf2019"ByAddingSection40-47-936SoAsToProvideCertainOrdersPhysicianAssistantsMayPlaceToBePerformedByLicensedPersonnelPursuantToTheScopeOfPracticeOfThePhysicianAssistant;ByAddingSection40-47-1025SoAsToProvideCertainProvisionsMayNotBeConstruedToLimitTheEmploymentArrangementOfPhysicianAssistants;ByAddingSection40-47-1030SoAsToProvideTheBoardOfMedicalExaminersMayApprovePhysicianAssistantsToEnterIntoNondisciplinaryAlternativeProgramsAndToProvideConfidentialityOfRelatedRecords;ByAddingSection40-47-1035SoAsToProvidePhysicianAssistantsMayBeConsideredPrimaryCareProvidersOrMentalHealthProvidersWhenPracticingInTheMedicalSpecialtiesRequiredForPhysiciansToBePrimaryCareProvidersOrMentalHealthProviders,AndToClarifyTheAffectOnRelatedWorkingRelationshipsAndScopesOfPractice;ByAddingSection40-47-1040SoAsToProvideTheBoardMayMakeSpecialProvisionsForLicensuresOfApplicantsWhoHaveBeenClinicallyInactiveForMoreThanTwenty-FourMonths,ToProvideRequirementsForTheseSpecialProvisions,AndToProvidePhysicianAssistantsWhoHaveBeenFull-TimeEmployeesOfCertainAccreditedEducationalProgramsMayNotBeConsideredToHaveBeenClinicallyInactiveForLicensureOrLicenseRenewalPurposes;ToAmendSection40-47-195,AsAmended,RelatingToSupervisingPhysiciansInScopeOfPractices,SoAsToReviseRelatedRequirements;ToAmendSection40-47-20,AsAmended,RelatingToDefinitionsConcerningPhysiciansAndMiscellaneousHealthCareProfessionals,SoAsToReviseNecessaryTerms;ToAmendSection40-47-113,RelatingToTheEstablishmentOfPhysician-PatientRelationships,SoAsToMakeAConformingChange;ToAmendSection40-47-910,RelatingToDefinitionsInThePhysicianAssistantsPracticeAct,SoAsToReviseAndProvideNecessaryDefinitions;ToAmendSection40-47-915,RelatingToTheApplicabilityOfThePhysicianAssistantsPracticeAct,SoAsToReviseTheCriteriaForPersonsSubjectToTheAct;ToAmendSection40-47-925,RelatingToThePhysicianAssistantAdvisoryCommitteeToTheBoard,SoAsToMakeConformingChanges;ToAmendSection40-47-930,RelatingToThePowersAndDutiesOfTheCommitteeAndBoard,SoAsToReviseTheRequirementsAndMakeConformingChanges;ToAmendSection40-47-935,AsAmended,RelatingToActsAndDutiesThatPhysicianAssistantsAreAuthorizedToPerform,SoAsToExpandTheRangeOfTheseActsAndDuties;ToAmendSection40-47-938,RelatingToSupervisoryRelationships,SoAsToReviseTheRequirementsForTheseRelationships;ToAmendSection40-47-940,RelatingToTheLicensureAppli...(clickbilllinktoseemore).

PrimarySponsorsGaryClary

BillSummary:Establishesrequirementsforphysicianassistantsutilizingtelemedicine,includingestablishingapatientrelationshipandprescribing.

State

SCBillNumber

H3399LastAction

MemberSRequestNameAddedAsSponsorAtkinson20190212

Status

Failedsinedie

Page 20: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

TitlePAActof2019

DescriptionAnActToAmendSection40-47-195,CodeOfLawsOfSouthCarolina,1976,RelatingToPhysicianSupervisionOfCertainPractitioners,SoAsToMakeVariousChangesConcerningScopeOfPracticeGuidelines;AndToAmendArticle7,Chapter47,Title40,RelatingToTheSouthCarolinaPhysicianAssistantsPracticeAct,SoAsToReviseTheArticleInItsEntirety.-RatifiedTitle

PrimarySponsorsTomDavis

BillSummary:Establishesrequirementsforphysicianassistantsutilizingtelemedicine,includingestablishingapatientrelationshipandprescribing.

State

SCBillNumber

S132LastAction

ActNo3220190521Status

Enacted

Page 21: Southeast TRC July 2019 Legislative Update · Southeast TRC July 2019 Legislative Update Last Updated: July 12, 2019 Southeast Telehealth Resource Center covers the states of Alabama,

Southeast TRC Regulatory Tracking UpdateJul 12, 2019

# State Reference Number Status Type Initial Publication Date Document Count

1 AL Final Rule Regular Jan 31, 2018 4

Issues: Regulatory, Licensing & Advisory Boards

Labels:

Title:

Agencies:

CustomSummary:

Definitions, Standards of Nursing Practice

NURSING, BOARD OF (AL)

Defines telehealth nursing as the practice of distance nursing care using telecommunications technology.

2 FL 65D-30.002 Proposed Rule Regular Nov 01, 2016 7

Issues: Substance Use Disorder

Labels:

Title:

Agencies:

CustomSummary:

Definitions

DEPARTMENT OF CHILDREN AND FAMILIES (FL), Substance Abuse Program (FL)

Defines telehealth and stipulates when telehealth can be used by the FL Department of Children and Families' Substance Abuse Program.

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