SB555 (2020) Detail

Relative to telemedicine coverage and reimbursements.


SB 555  - AS INTRODUCED

 

 

2020 SESSION

20-3043

01/10

 

SENATE BILL 555

 

AN ACT relative to telemedicine coverage and reimbursements.

 

SPONSORS: Sen. Kahn, Dist 10; Sen. Rosenwald, Dist 13; Sen. Fuller Clark, Dist 21; Sen. Gray, Dist 6; Sen. Bradley, Dist 3; Sen. Dietsch, Dist 9; Sen. Cavanaugh, Dist 16; Sen. Chandley, Dist 11; Sen. Soucy, Dist 18; Sen. Hennessey, Dist 5; Sen. Sherman, Dist 24; Rep. Marsh, Carr. 8; Rep. Snow, Hills. 19

 

COMMITTEE: Commerce

 

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ANALYSIS

 

This bill clarifies coverage for telehealth and telemedicine services under the Medicaid program and the New Hampshire telemedicine act.

 

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Explanation: Matter added to current law appears in bold italics.

Matter removed from current law appears [in brackets and struckthrough.]

Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

20-3043

01/10

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Twenty

 

AN ACT relative to telemedicine coverage and reimbursements.

 

Be it Enacted by the Senate and House of Representatives in General Court convened:

 

1  Medicaid Coverage of Telehealth Services.  Amend RSA 167:4-d, III(b) to read as follows:

(b)  The Medicaid program shall provide coverage and reimbursement for health care services provided through telemedicine on the same basis as the Medicaid program provides coverage and reimbursement for health care services provided in person.

(c)  The combined amount of reimbursement that the Medicaid program allows for the compensation to the distant site and the originating site shall not be less that the total amount allowed for health care services provided in person.

(d)  Nothing in this section shall be construed to prohibit the Medicaid program from providing coverage for only those services that are medically necessary and subject to all other terms and conditions of the coverage.

2  New Hampshire Telemedicine Act; Coverage for Telemedicine Services.  Amend RSA 415-J:3, III to read as follows:

III.  An insurer offering a health plan in this state shall provide coverage and reimbursement for health care services provided through telemedicine on the same basis as the insurer provides coverage and reimbursement for health care services provided in person.

IV.  An insurer shall provide a reasonable facility fee to an originating site operated by a health care provider or a licensed health care facility if the health care provider or licensed health care facility is authorized to bill the insurer directly for health care services.

V.  The combined amount of reimbursement that a health benefit plan allows for the compensation to the distant site and the originating site shall not be less than the total amount allowed for health care services provided in person.

VI.  Nothing in this section shall be construed to prohibit an insurer from paying a facility fee to a provider at a distant site in addition to a fee paid to the health care provider.

VII.  If an insurer excludes a health care service from its in-person reimbursable service, then comparable services shall not be reimbursable as a telemedicine service.

VIII.  An insurer shall not impose on coverage for health care services provided through telemedicine any additional benefit plan limitations to include annual or lifetime dollar maximums on coverage, deductibles, copayments, coinsurance, benefit limitation or maximum benefits that are not equally imposed upon similar services provided in-person.

IX.  Nothing in this section shall be construed to require an insurer to reimburse more for a health care service provided through telemedicine than would have been reimbursed if the health care service was provided in person.

X.  Nothing in this section shall be construed to prohibit an insurer from providing coverage for only those services that are medically necessary and subject to the terms and conditions of the covered person's policy.

3  Effective Date.  This act shall take effect 60 days after its passage.

Links

SB555 at GenCourtMobile
SB555 Discussion

Action Dates

Date Body Type
Feb. 4, 2020 Senate Hearing
March 5, 2020 Senate Floor Vote

Bill Text Revisions

SB555 Revision: 7777 Date: Jan. 2, 2020, 1:56 p.m.

Docket

Date Status
Jan. 8, 2020 To Be Introduced 01/08/2020 and Referred to Commerce; SJ 1
Feb. 4, 2020 Hearing: 02/04/2020, Room 101, LOB, 01:30 pm; SC 5
March 5, 2020 Committee Report: Ought to Pass, 03/05/2020; SC 9
March 5, 2020 Ought to Pass: MA, VV; OT3rdg; 03/05/2020; SJ 5