§431:10A‑116.3  Coverage for
telehealth.  (a)  It is the intent of the legislature to recognize the
application of telehealth as a reimbursable service by which an individual
shall receive medical services from a health care provider without face-to-face
contact with the provider.



(b)  No accident and health or sickness
insurance plan that is issued, amended, or renewed shall require face-to-face
contact between a health care provider and a patient as a prerequisite for
payment for services appropriately provided through telehealth in accordance
with generally accepted health care practices and standards prevailing in the
applicable professional community at the time the services were provided.  The
coverage required in this section may be subject to all terms and conditions of
the plan agreed upon among the enrollee or subscriber, the insurer, and the
provider.



(c)  There shall be no reimbursement for a
telehealth consultation between health care providers unless a health care
provider-patient relationship exists between the patient and one of the health
care providers involved in the telehealth interaction.



For the purposes of this section, "health
care provider" means a provider of services, as defined in 42 U.S.C.
1395x(u), a provider of medical and other health services, as defined in 42
U.S.C. 1395x(s), and any other person or organization who furnishes, bills, or
is paid for health care in the normal course of business.



(d)  Notwithstanding chapter 453 or rules
adopted pursuant thereto, in the event that a health care provider-patient
relationship does not exist between the patient and the health care provider to
be involved in a telehealth interaction between the patient and the health care
provider, a telehealth mechanism may be used to establish a health care
provider-patient relationship.



(e)  For the purposes of this section,
"telehealth" means the use of telecommunications services, as defined
in section 269‑1, including but not limited to real-time video
conferencing-based communication, secure interactive and non‑interactive
web-based communication, and secure asynchronous information exchange, to
transmit patient medical information, including diagnostic-quality digital
images and laboratory results for medical interpretation and diagnosis, for the
purpose of delivering enhanced health care services and information to parties
separated by distance.  Standard telephone contacts, facsimile transmissions,
or email text, in combination or by itself, does not constitute a telehealth
service for the purposes of this chapter. [L 1998, c 278, §2; am L 2002, c 155,
§56; am L 2006, c 219, §2; am L 2009, c 20, §3]



 



Cross References



 



  Practice of telemedicine, see §453-1.3.