Legislation


SB 1892 (see companion bill HB 1699) – Tennessee

Status: Inactive / Dead
Year Introduced: 2020
Link: http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=SB1892

As introduced, makes various changes to the law concerning the electronic delivery of health care and its coverage under insurance policies. This bill adds that telehealth is subject to utilization review in the same manner as an in-person encounter under the Health Care Service Utilization Review Act. This bill requires a health insurance entity to reimburse a facility hosting a patient as part of a telehealth encounter an originating site fee in accordance with applicable rules and amounts established by the centers for medicare and medicaid services. This bill defines “originating site” as the location where a patient is located for telehealth services and that originates telehealth service to another qualified site, such as the office of a healthcare services provider, a hospital, a rural health clinic, or any other location deemed acceptable by the health insurance entity.

Expands existing coverage parity/reimbursement parity requirements. Requires a health insurance entity to reimburse a facility hosting a patient for a telehealth encounter an originating site fee in accordance with applicable rules and amounts established by the Centers for Medicare and Medicaid Services (CMS). Adds a private location the patient deems appropriate to receive their healthcare services that is equipped to engage in telecommunication as a location a patient may receive provider-based telemedicine services and requires an in-person encounter between the healthcare service provider, the provider’s practice group, or the healthcare system and the patient within 24 months prior to a telehealth encounter prior to the provider-based telemedicine service. Requires a health insurance entity to consider any remote patient monitoring (RPM) service a covered service if the same service is covered by Medicare.


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